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5K/Fun Walk T-Bird Trot Registration – 2022

By Heather NewApril 14, 2022July 20th, 2022No Comments

Date: Sat April 23, 2022
Time: 7:30AM CDT–9:00AM CDT
Entry Fee: $35
Come join us in our small community of Circle School District, Benton, KS during our Benton Day celebration. The race will be out and back course and timed by Timer Guys. Start and finish line will be in front of the Benton Community (Lions Club) building. Pictures, breakfast, and age awards immediately following the race. Circle Benton Elementary will be hosting their Spring Fling on this same day. We welcome all to join us and to support our kids in the Circle district.

Proceeds of the race go back to CMS and CHS students to meet activity and classroom needs.

You can also register here.

5K Registration

Fields marked with an * are required

$30.00 - Adult Registration

$20.00 Youth Registration (12th Grade and under)

Instructions:
1. Register the first participant.
2. Register up to 5 additional participants.
3. Check out once, via secure PayPal servers.

ALL information must be filled out completely
and waiver must be signed.

Select Participant Type *

Adult 5K $35

Adult Fun Walk $35

Youth 5K $20

Youth Fun Walk $20

Personal Information

First Name *

Last Name *

Email *

Used for Registration Confirmation

Gender *

Date of Birth *

Address *

City *

State *

Zip Code *

T-Shirt Size *

Do you want to add a second participant? *

Yes

No

Second Participant

Select Participant Type *

Adult 5K $35

Adult Fun Walk $35

Youth 5K $20

Youth Fun Walk $20

First Name *

Last Name *

Gender *

Date of Birth *

Address *

City *

State *

Zip Code *

T-Shirt Size *

Do you want to add a third participant? *

Yes

No

Third Participant

Select Participant Type *

Adult 5K $35

Adult Fun Walk $35

Youth 5K $20

Youth Fun Walk $20

First Name *

Last Name *

Gender *

Date of Birth *

Address *

City *

State *

Zip Code *

T-Shirt Size *

Do you want to add a fourth participant? *

Yes

No

Fourth Participant

Select Participant Type *

Adult 5K $35

Adult Fun Walk $35

Youth 5K $20

Youth Fun Walk $20

First Name *

Last Name *

Gender *

Date of Birth *

Address *

City *

State *

Zip Code *

T-Shirt Size *

Do you want to add a fifth participant? *

Yes

No

Fifth Participant

Select Participant Type *

Adult 5K $35

Adult Fun Walk $35

Youth 5K $20

Youth Fun Walk $20

First Name *

Last Name *

Gender *

Date of Birth *

Address *

City *

State *

Zip Code *

T-Shirt Size *

Disclaimer and Release

Parent must sign if the participant is under 18 years of age. In consideration of this entry being accepted, I hereby for myself, heirs, executors, administrators, and any minor child (if applicable), waive and release any and all rights and claims for damages that I have against all sponsors, and persons employed, representative, successors, or otherwise connected with this event in any way and assigns for any and all injuries suffered by me in said event including travel to and from this event. I verify that I am physically fit and have sufficiently trained for the completion of this event.

I Have read and agree to the Disclaimer and Release *

Yes

To complete this purchase, we utilize
PayPal’s encrypted, secure servers.
A PayPal account is not required.

You can choose to pay with a credit card or a PayPal account. After the payment is processed, you can view your order details and we will email you a receipt.

Thank you for supporting 2019 5K T-Bird Trot!

Total Review

Total payment due today for registration.

Email

If you are human, leave this field blank.

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Circle Booster Club
P.O. Box 434
Towanda, KS. 67114

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5K/Fun Walk T-Bird Trot Registration – 2022

Instructions:1. Register the first participant. 2. Register up to 5 additional participants. 3. Check out once, via secure PayPal servers.

Personal Information

Second Participant

Third Participant

Fourth Participant

Fifth Participant

Disclaimer and Release

To complete this purchase, we utilize PayPal’s encrypted, secure servers. A PayPal account is not required.

You can choose to pay with a credit card or a PayPal account. After the payment is processed, you can view your order details and we will email you a receipt.

Thank you for supporting 2019 5K T-Bird Trot!

Previous PostSteak Feed - 2022

Next PostSteak Feed - 2021

Instructions:
1. Register the first participant.
2. Register up to 5 additional participants.
3. Check out once, via secure PayPal servers.

To complete this purchase, we utilize
PayPal’s encrypted, secure servers.
A PayPal account is not required.