2025 Starfish Dash 5K Run/Walk & Health Fair Registration Form

2025 STARFISH DASH 5K RUN/WALK Registration

Date: Saturday May 3, 2025 Time: 8:30 am - 11:30am CST Venue: 7431 Merton Minter, San Antonio, TX 78229 (Parking behind Gold's Gym)
Join us for Chromosome 18's Official Fiesta Event - the Starfish Dash 5K Run/Walk & Health Fair! Our goal is to bring health-minded people together to run/walk and raise awareness and funds towards Chromosome 18's mission of helping special-needs children and adults with these rare conditions overcome the obstacles they face so they may lead health and productive lives. In addition to the run/walk, this family-friendly FREE event on the UT Health campus will include free health screenings, free coffee and donuts, live music, vendors, and so much more!
Not participating in the 5K Run/Walk but want to make a donation to support the event? Just click HERE!
Basic Information
Name*

First NameLast Name
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
example@example.com
Contact Number
Gender (must fill this out to be eligible for 1st, 2nd or 3rd place prizes)
Age on Event Date (must fill this out to be eligible for 1st, 2nd or 3rd place prizes)
I am a*

RunnerWalker
Join or Create a Team
Are you creating a new team or joining an existing one?

I am creating a new teamI am joining an existing teamNeither, I am running solo!
Enter the name of your New Team or select an Existing Team from the dropdown menu below
*To add new team, select "Add Option" from the dropdown and type the new team name in the box that pops up.
Set Up Your Fundraising Page
CLICK HERE to create an individual or team fundraising page as part of your run/walk.

When you click the link, select the button that says "Start a fundraiser"
There are great incentives to fundraise as part of your run/walk:
- Raise $15 and qualify for an official Starfish Dash Fiesta medal
- Raise $60 and qualify for a 2024 Starfish Dash t-shirt and medal
- Raise $100 and qualify for a $20 Valero gas card, t-shirt and medal
- Team Captains that organize a team of 5+ members qualify for a $20 gas card
In Case of Emergency
Emergency Contact:*

First NameLast Name
Relationship
Contact Number*
Release and Waiver of Liability - Assumption of Risk and Indemnity Agreement
In consideration of my participation in the 5K Run, 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/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/Walk.I agree to comply with all rules and regulations of the 5K Run/Walk.I release, discharge, and hold harmless the organizers of the 5K Run/Walk, their officers, directors, employees, volunteers, sponsors, and any other persons or organizations associated with the 5K Run/Walk from any and all claims, damages, or injuries, including death, that may arise from my participation in the 5K Run/Walk or as a result of my use of any facilities or equipment provided by the 5K Run/Walk.I agree to Chromosome 18's Event Terms & Conditions as listed on our website here: https://www.chromosome18.org/terms-and-conditions/
Donate
Support Chromosome 18!

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USDSupport special-needs chromosome 18 children, adults, and their families. Donations are welcome but not required to participate.
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2025 STARFISH DASH 5K RUN/WALK Registration

Basic Information

Join or Create a Team

Set Up Your Fundraising Page

In Case of Emergency

Release and Waiver of Liability - Assumption of Risk and Indemnity Agreement

Donate