5K Registration

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.

Personal Information

Used for Registration Confirmation

Second Participant

Third Participant

Fourth Participant

Fifth Participant

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.

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!

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