Registration Form Runnin' for a Reason April 15th 5pm at Walsh Ranch Park 5K Fun Run followed by Fajita Dinner
USE ONE FORM FOR PER FAMILY OR PARTY

Runnin’ for a Reason, in the inaugural year, has been created to serve our community by bringing together runners, families, and volunteers to raise money for a local charitable organization. For 2018, Backpack Coalition will receive all the proceeds from the race on April 15th.
Backpack Coalition’s goal is to nurture children, give them a level playing field, the chance to not only survive, but thrive and become contributing members of our community. Statistically, 1 in 4 children in Central Texas comes from a home that is not food stable. This means at any given time there may be nothing to eat in the home. For a child who is not adequately nourished over the weekend, studies show it takes them until Wednesday to recover full cognitive ability, only to start the process over again each Friday if no one steps up to help. The body is a marvelous machine: When faced with less than adequate food, it maintains core functions and sacrifices the “extras” – cognitive and higher learning abilities are the first casualties. Extended malnutrition not only destroys existing brain cells, it impairs the body's ability to make new brain cells. Currently it costs us $5.00 per week to feed a student for the weekend, and Backpack Coalition feeds over 1000 students each week.

So please join us in a fun 5K run to raise money for this worth cause!
April 15th 5pm
Walsh Ranch Park
Fajita Dinner following the Run

Email address *
Runner's Name *
Your answer
Runner's Address *
Your answer
Runner's phone number *
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Runner 2 Name
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Runner 3 Name
Your answer
Runner 4 Name
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Runner 5 Name
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Runner 6 Name
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Runner 7 Name
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Runner 8 Name
Your answer
Number of Adult or Youth Runners ($40/runner age 11 and up) *
Your answer
Number of Children ($20/runner age 10 and under) *
Your answer
Emergency Contact and number for the group *
Your answer
Participant Waiver (by typing parent's name, you acknowledge and accept the waiver for all people in your party) *
I know that running a road race is potentially hazardous activity, which could cause injury or death. I will not enter and participate unless I am medically able and properly trained, and by my signature, I certify that I am medically able to perform this event, and am in good health, and I am properly trained. I agree to abide by any decision of a race official relative to any aspect of my participation in this event, including the right of any official to deny or suspend my participation for any reason whatsoever. I attest that I have read the rules of the race and agree to abide by them. I assume all risks associated with running in this event, including but no limited to: falls, contact with other participants, the effects of the weather, including high heat and/or humidity, traffic and the conditions of the road [crossing streets], all such risks being known and appreciated by me. I understand that bicycles, skateboards, baby joggers, roller skates or roller blades, animals, and personal music players are not allowed in the race and I will abide by all race rules. Having read this waiver and knowing these facts and inconsideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release Runnin' For A Reason & organizers, the Walsh Ranch Community, all event sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event, even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I grant permission to all of the foregoing to use my photographs, motion pictures, recordings or any other record of this event for any legitimate purpose. I understand that this event does not provide for refunds in the event of a cancellation, and by signing this waiver, I consent that I am not entitled to a refund if the event is cancelled before or during the event.
Your answer
Total amount paid to PayPal (runninforareason@gmail.com) or type unpaid *
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PayPal confirmation number
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A copy of your responses will be emailed to the address you provided.
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