St. Paul School Fun Run & 5k/1 Mile Event

What do you wish to do?*

Sponsor ONLY with Sponsor Name on T-shirt (unable to participate)Sponsor with Sponsor Name on T-shirt -AND- Participate in the 5K/1 Mile EventSponsor a St. Paul Student (unable to participate)Participate in the 5K/1 Mile Event -AND - Sponsor a StudentParticipate in the 5K/1 Mile Event (No Student - Still Wanting to Support St. Paul)Just here to Donate to St. Paul School!T-shirt ONLY Please!
St. Paul School's 9th Annual Fun Run & Flapjack 5K/Pancake Breakfast Fundraiser

The Flapjack 5K will be held on Saturday May 3, 2025 @ 7:30 am at St. Paul School - 322 W. Washington Macomb, IL
Name*

First NameLast Name
Sponsoring a student?
Student Name(s)
Grade of Student (if known):
Amount of sponsorship:
Example: $25
Student's Parents:
Parent Name
Address:

Street Address

Street Address Line 2

CityState

Postal / Zip Code
E-mail*
example@example.com
Phone Number*
Gender*
Date of Birth (00/00/0000)
Age on Event Date*
Select Route Length*
Select Registration Type (All include breakfast and t-shirt unless otherwise noted.)
T-shirt Size
In case of emergency...
Emergency Contact:*

First NameLast Name
Contact Number*
Release and Waiver of Liability - Assumption of Risk and Indemnity Agreement
Release and waiver of liability: I, the undersigned, understand that there are certain dangers, hazards, and risks inherent to this activity, which also could include serious or even mortal injuries and property damage, and that Saint Paul School does not assume responsibility for any such personal injuries or property damage. In consideration of the opportunity to participate, I agree to assume all risks, and responsibilities that surround participation in the activity. I further state that I have sufficiently trained for and am in proper physical condition to participate in this event. My signature below represents my acknowledgement of the risks and voluntary agreement to these terms. I will not bring pets to the event.
Signature*

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Payment Options*

Credit Card via St. Paul School's Square (Enter Credit Card information below)Mail check made out to St. Paul School, 322 W Washington, Macomb, IL 61455Bring check to St. Paul School, 322 W Washington, Macomb, ILBring cash to St. Paul School, 322 W Washington, Macomb, IL

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St. Paul School's 9th Annual Fun Run & Flapjack 5K/Pancake Breakfast Fundraiser

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