Run/Walk Registration

Welcome > Ministries > 5kRun/Walk > Run/Walk Registration

Neighbors Sharing with Neighbors
Holy Cross 5k Run/Walk will be held October 27, 2007, for anyone in the community who wishes to support “The Sharing Place”, food and clothing pantry. To register, please complete the form below... the first 100 registrants will receive a free T-shirt
All Fields are Required. ($10 fee can be paid on the day of the Run)

DOWNLOAD the REGISTRATION FORM OR Complete the Form Below

Registrant's Information

First Name

Last Name

Age on October 27, 2007 

Gender:  Male  Female

Address

City

Zip

Day Phone

Evening Phone

email address

T-Shirt Size:  Medium  Extra Large

Participant’s Signature
By adding my name to this form, I wave and release any and all rights and claims for damages I may have aginst any of the sponsors, organizers, Holy Cross Lutheran Church, City of Lawrence, The Sharing Place, for any and all claims of damages, demands or loss actions whatsoever which may arise as a result of my participation in this event. I understand and acknowledge that participating in this run/walk event may expose me to dangers from both known and anticipated risks. I attest and verify that I am physically fit and have sufficiently trained for the completion of this event and my physical condition has been verified by a licensed medical doctor. Further, I grant full permission to any and all of the foregoing to use my likeness for any legitimate purpose whatsoever.

Participant’s Name:
Date:

Parent’s or Guardian’s Name if participant is under 18 years of age:

Date:

 

  I am willing to volunteer to help in whatever area you need me.

 

 

 Return to 5k Run/Walk page without registering

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