ANNUAL PINK 5K RUN AND 1 MILE FUN RUN REGISTRATION
PRESENTED BY: Pink Alabama & Alpha Phi Alpha Fraternity, Inc. (Kappa Nu Lambda Chapter) Date: October 10, 2026 Time: 8:00AM- 10:00AM CST Venue: 17 Hightower Place, Florence, AL
Registration Status: Please select option to check-in, submit, and proceed to registration to pick up your registration items.
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$25 ENTRY FEE FOR 5K - $10 ENTRY FEE FOR 1 MILE FUN RUN
Please complete an individual registration form for each participant.
Select one:
5K Run
1 MILE FUN RUN
Survivor Walk
Name
First Name
Middle Name
Last Name
Address:
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E-mail
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Contact Number
Format: (000) 000-0000.
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In Case of Emergency
Emergency Contact:
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5K Fun Run
5K Run
$25.00
$
25.00
Quantity
1
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5
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10
1K Mile
$10.00
$
10.00
Quantity
1
2
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5
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8
9
10
Release and Waiver of Liability - Assumption of Risk and Indemnity Agreement
In consideration of my participation in the 5K run/1 mile fun run, Survivor Walk, I, the undersigned participant, hereby acknowledge and agree to the following:
I am fully aware of the risks involved in participating in a 5K Run/1 mile fun run, Survivor Walk, and voluntarily assume all such risks.
I am physically fit and have no medical conditions that would prevent my participation in the 5K run/1 mile fun run, and Survivor Walk.
I agree to comply with all rules and regulations of the 5K run/1 mile fun run, and Survivor Walk.
I release, discharge, and hold harmless the organizers of the 5K run/1 mile fun run, Survivor Walk, their officers, directors, employees, volunteers, sponsors, and any other persons or organizations associated with the 5K run/1 mile fun run from any and all claims, damages, or injuries, including death, that may arise from my participation in the 5K run/1 mile fun run or as a result of my use of any facilities or equipment provided by the 5K run/ 1 mile fun run.
Attendance:
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