2nd Annual Operation We Remember

2nd Annual Operation We Remember
5K Run Registration Form
Date: September 12
Location: Level Plains Community Center/Park
Registration/Check-In: 8:00 AM
5K Start: 9:00 AM
Participant Name:
Age:
Date of Birth:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone:
Format: (000) 000-0000.
Email:
example@example.com
Emergency Contact:
Emergency Phone:
Format: (000) 000-0000.
Registration Option (check one):
Payment method
WAIVER:
I understand that participating in this event involves physical activity and I assume all risks associated with participation. I release the City of Level Plains, Level Plains Police Department,

5K Run Registration Form