Tri-Community 5k Fiesta
Date: May 11, 2024 Time: 9.00 am Venue: SHS Football Field
Name
First Name
Middle Name
Last Name
Address:
Street Address
Street Address Line 2
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State / Province
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E-mail
example@example.com
Contact Number
Sex
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Male
Female
N/A
Age on Event Date
Division
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Youth - Ages 12 & Below
Teen - Ages 13 - 18
Adult - Ages 19 & Up
Non-Competitive (For Fun)
In Case of Emergency
Emergency Contact:
First Name
Last Name
Relationship
Contact Number
Release and Waiver of Liability - Assumption of Risk and Indemnity Agreement
In consideration of my participation in the Tri-Community 5k Fiesta run, I, the undersigned participant, hereby acknowledge and agree to the following:
I am fully aware of the risks involved in participating in a Tri-Community 5K Fiesta Run and voluntarily assume all such risks.
I am physically fit and have no medical conditions that would prevent my participation in the Tri-Community 5K Fiesta Run.
I agree to comply with all rules and regulations of the Tri-Community 5K Fiesta Run.
I release, discharge, and hold harmless the organizers of the Tri-Community 5K Fiesta Run, their officers, directors, employees, volunteers, sponsors, and any other persons or organizations associated with the Tri-Community 5K Fiesta Run from any and all claims, damages, or injuries, including death, that may arise from my participation in the Tri-Community 5K Fiesta Run or as a result of my use of any facilities or equipment provided by the Tri-Community 5K Fiesta Run.
Date
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Month
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Day
Year
Date
Participant Signature
If Participant is under 18 years of age a parent or legal guardian signature is required.
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TC 5K Fiesta Registration & T-Shirt
Registration fee and T-Shirt. PRE-ODERS FOR CUSTOM SHIRT SIZES HAVE ENDED. THERE WILL BE A LIMITED AMOUNT OF L & XL SHIRTS AVAILABLE WHEN YOU SIGN IN.
$
30.00
T-Shirt Size
REGISTRATION ONLY - SEE NOTE ABOVE
Child - XS
Adult - XS
Child - S
Adult - S
Child - M
Adult - M
Child - L
Adult - L
Child - XL
Adult - XL
Adult - XXL
Adult - XXXL
Adult - XXXXL
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
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