Clone of FMCE Leaf Cruncher Registration Form

FMCE Leaf Cruncher 5K and Fun Run

Supporting Education Initiatives in Moffat County
Location: Loudy-Simpson Park, 1009 S. Ranney Street, Craig, CO

Race Date: September 25, 2021

Time: Registration starts at 7:15AM with 5K race set to start at 8:00AM. Fun Run will start at 8:10AM. PLEASE NOTE: MIDDLE SCHOOL CROSS COUNTY RACE BEGINS AT 8:45AM. PARTICIPANTS WILL NEED TO BE OFF COURSE OR MAKE WAY FOR RUNNERS!
Participant Details

Friends of Moffat County Education - Leaf Cruncher 5K and Fun Run
Full Name

First Name Last Name
Age
Date of Birth

Month Day Year
Date
Email
example@example.com
Phone Number

Area Code Phone Number
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
T-shirt Size

S M L XL XXL Child's S Child's M
Registration Payments
Payment Method
Pay cash or check on race day. Please make checks payable to Friends of Moffat County Education.
Registration Fee
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Leaf Cruncher 5K $ 20.00
Entry fee of $20 for all race participants 18 and older.

1 Mile Family Fun Run Free
Fun Run is designed for children 12 and under. No charge for the children. Each participant receives a special Elevate Education t-shirt.

Total $ 0.00
Waiver & Release
I confirm that I am in good shape, health, and condition. I don't have any medical condition or medical history that will affect my participation in this event. I will follow the rule and regulations of the road race event. I acknowledge that this road race requires physical activity and there are possible risks and danger. I release the road race event organizers for any responsibility in case of an accident, illness, or injury. I allow my photo to be taken during the event and used for event advertising and marketing. I confirm that all information in this registration form is accurate and true.
Participant's Signature

Clear
Date Signed

Month Day Year
Date
Parent/Guardian Signature (If participant is below 18 years old)

Clear
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FMCE Leaf Cruncher 5K and Fun Run

Participant Details

Registration Payments

Waiver & Release