2019 Conrad Dash and Splash Registration
We are again offering an online sign up option for the annual Dash and Splash! This form will include all options as the paper copy and your 'signature' at the bottom will be typed. The form is also available to download!
The 5K walk/run & 10K run will be held on Saturday, June 8. Registration begins at 7:00 a.m. at Reunion Park in Conrad with the race beginning promptly at 8:00 a.m.
Please mail registration fees to:
Jami Willett
P.O. Box 247
Conrad, IA 50621
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* Required
Email address
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Your email
First Name
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Your answer
Last Name
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Your answer
Address
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Your answer
City
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Your answer
State
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Your answer
Zip Code
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Your answer
Select Division
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Male
Female
Select Race
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5K
10K
Age day of race
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13 & under
14-19
20-29
30-39
40-49
50-59
60-64
65+
Shirt Choice: NO shirt ($10 register by 6/4, $15 day of race), tshirt/tank/racerback tank ($15 register by 6/4, $20 day of race)
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NO Shirt
Sport Tek T-shirt
T Shirt (Gildan 50/50)
Ladie's Racerback Tank Top
Shirt Size
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XS - Racerback Tank Only
Small
Medium
Large
X-Large
2XL
Youth Large (tshirt only)
Youth Medium (tshirt only)
No Shirt
Other:
Registration Fees: please mail to address above
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I will send my registration fees to Jami Willett.
I will pay the day of the race.
Release of Liability Statemnt
In consideration of your acceptance of this entry, I hereby, for myself, my heirs, executors, and administrators, waive any and all rights and claims for damages I may have against individuals associated with this event, it’s agents, successors and assigns, for any and all injuries suffered by me in said event. I attest and verify that I have full knowledge of the risks involved in this event and I am physically fit and sufficiently trained to participate in this event.
Digital Signature: please sign after reading the release of liability statement
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Your answer
Send me a copy of my responses.
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