Lions 35N Fun Run/Walk Participant Details
Full Name
*
First Name
Last Name
Age Group
*
12 and under
13-18
19-30
31-49
51-64
65+
Date of Birth
*
-
Month
-
Day
Year
Date
Email
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Organization/Company
Emergency Contact Person
First Name
Last Name
Emergency Contact Person Number
Please enter a valid phone number.
Format: (000) 000-0000.
How did you find out about the walk?
Please Select
Social Media
A Friend
Other
Registration Payments
Payment Method
*
Please Select
Pay in Advance
Pay at the Race
Registration Fee
*
Primary school students (no shirt): $10.00
High school students (no shirt): $15.00
Adults (no shirt): $20.00
Adults (including shirt): $25.00
Shirt Size
Please note that the shirts are GILDAN Brand and all shirt orders must be in no later than February 16th, 2024
Choose One
*
Runner
Walker
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 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
Date Signed
-
Month
-
Day
Year
Date
Parent/Guardian Signature (If participant is below 18 years old)
Submit
Submit
Should be Empty: