Rapid Fitness 5K Sign Up Form 2023

Rapid Fitness 5K Sign Up Form
Race Date: June 24th 2023
Location: Dell Rapids Rickeman Field (City Ball Park)
Start Time: 8:00 AM

Packet pick-up and warm up is from 7:00 AM to 7:45 AM
Participant Information
Full Name

First NameLast Name
Age
Date

MonthDayYear
Date
Gender
Email
example@example.com
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
T-Shirt Size (Choose between a T-Shirt or a Tank)

XSSMLXLXXLYouth SYouth MYouth LYouth XL
Tank

XSSMLXLXXLYouth LYouth SYouth MYouth L
Want to run a 10k

YesNo
Emergency Contact Details
Contact Person

First NameLast Name
Phone Number

Area CodePhone Number
Relationship
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 eventI 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 confirm that all information in this registration form is accurate and true.
Participant's Signature

Clear
Date Signed

MonthDayYear
Date
Parent/Guardian Signature (If participant is below 18 years old)

Clear
Date

MonthDayYear
Date

My Products

Registration Fee$35.50

Quantity
Item subtotal:$0.00

Total $0.00

For questions please contact Matt Beukelman at 605-428-3899 or matthew.beukelman@gmail.com
If unable to register and pay online you can mail this application form & entry fee to:
Rapid Fitness, 601 Garfield Ave, Dell Rapids, SD 57022
Checks payable to Rapid Fitness
Should be Empty:

Rapid Fitness 5K Sign Up Form