I RAN FROM THE COPS ENTRY FORM
I RAN FROM THE COPS 5K - 1 MILE WALK/YOUTH FUN RUN
SEPTEMBER 12, 2026
ENTRY FEE $30
REGISTRATION: 7:00 AM
RACE BEGINS AT 8:00 AM
REGISTRATION FORM:
MARK ONE:
5K
WALK
T-SHIRT:
YES
NO
SIZE:
NAME: (PLEASE PRINT)
First Name
Last Name
AGE:
MARK ONE:
MALE
FEMALE
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
PHONE
EMAIL ADDRESS
example@example.com
IN REGISTERING FOR THE I RAN FROM THE COPS 5K, I AGREE TO INDEMNIFY AND HOLD HARMLESS THE WILLOW SPRINGS CHAMBER OF COMMERCE (THE "CHAMBER") AND ITS SUCCESSORS AND ASSIGNS AND AFFILIATES, AGENTS, EMPLOYEES, MEMBERS, MANAGERS, DIRECTORS AND OFFICERS FROM AND AGAINST ANY AND ALL CLAIMS, LIABILITY, LOSSES, CAUSES OF ACTION, PENALTIES, DAMAGES, EXPENSES AND JUDGMENTS OF ANY KIND OR NATURE WHATSOEVER, INCLUDING REASONABLE ATTORNEY'S FEES, FOR INJURIES OR ACCIDENTS TO PERSONS OR PROPERTY, IN CONNECTION WITH MY PARTICIPATION OCCURRING ON OR ABOUT WILLOW SPRINGS OR IN ANY LOCATION ASSOCIATED WITH MY PARTICIPATION IN THIS EVENT.
SIGNATURE (REQUIRED):
*
PARENT OR GUARDIAN IF UNDER 18:
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Street Address Line 2
City
State / Province
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