Virtual Running Event Registration Form

2% 5K Run/Walk
Lace up and join us along the beautiful downtown canal in Indianapolis as we stride toward equity, visibility, and change. Proceeds will fund a scholarship to help a first-year Black male educator set up a welcoming, well-equipped classroom.

Start Date: June 19, 2025
Deadline Date: (update)
Name

First NameLast Name
Age
Gender

MaleFemale
Phone Number
Please enter a valid phone number.
Email
example@example.com
Notes:
- Registration location: Colts Canal Playspace @ 8:00 AM.
- T-shirts will be delivered at the time of registration.
- We recommend you prioritize your health and safety.
- We are not responsible or liable for any damage or injury that might happen during the course of the event.
Signature

Powered by Jotform SignClear
Date Signed

MonthDayYear
Date
My Products
prevnext( X )
Registration Only
$30.00 Quantity

Total

$0.00
Payment Methods

Choose from one of the PayPal options to make your payment.
Should be Empty:

2% 5K Run/Walk