SHC 2023 Charity Walk/Run 5K/10K
One Form Per Runner!
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Race Length?
5K
10K
T-Shirt Size
Small
Medium
Large
Extra Large
Emergency Contact
First Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
By signing below, I acknowledge that I am aware of the risks of participating in an athletic event of this type. I understand that I will be participating in this event at my own risk and that I am waiving and releasing my legal rights to sue for any injury or damages arising out of or resulting from my participation in the event.
You may select multiple.
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Student Ticket
$
15.00
Adult Ticket
$
30.00
School Staff Ticket
$
15.00
Silver Heart Care Cap
$
10.00
Optional Donation Link:
https://www.paypal.com/fundraiser/charity/4341986
Submit
Should be Empty: