5K Sign Up Form

Spring Into Action 2nd Annual 5k

Run, Jog or Walk
Race Date: June 14, 2025

Location: 1480 Kalamazoo Ave SE, Grand Rapids, MI 49507

Registration Begins: 8am

Yoga/Warm-up: 8:45am

Run/Walk: 9am
Participant Information
Full Name

First NameLast Name
Age
Date

MonthDayYear
Date
Gender
Email
example@example.com
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
XSSMLXLXXL
YesNo
Emergency Contact Details
Contact Person

First NameLast Name
Phone Number

Area CodePhone Number
Relationship
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 eventI acknowledge that this 5k requires physical activity and there are possible risks and danger.I release Spring Into Action 5k 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.
Participant's Signature

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Date Signed

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

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Spring Into Action 2nd Annual 5k