5K REGISTRATION

5K REGISTRATION
Race Day: April 27, 2024

Location:

Old Settlers Park | Virgil Rabb Pavilion

3300 E Palm Valley Blvd, Round Rock, TX 78665

Registration: 8:00 AM

Start Time: 9:00 AM
Participant Information
Full Name

First NameLast Name
Age
Gender
Email
example@example.com
Phone Number

Area CodePhone Number
Emergency Contact Details
Contact Person

First NameLast Name
Phone Number

Area codePhone Number
Relationship
Waiver & Release
Type a question

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.
Racer Registration Type & Payment

Regular registration includes: Race fees & T-shirt

Regular Registration$65.00

Runners & Walkers T-shirt included!

Adaptive Athlete Registration$ Free

Wheelchairs & Handcycles T-shirt included!

Virtual Run!$25.00

Show support from anywhere you are!

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Total $0.00

T-Shirt Size

XSSMLXLXXL
Participant's Signature

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Date Signed

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

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Date

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Date
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Participant Information