Buzz Run Registration Form

The goal of the Be Fit Kids Buzz Run is to provide an opportunity for all young children of the Greater Enid area to participate in a fun event that promotes health and fitness in a low-risk and high-reward atmosphere. All participants cross the finish line and receive an event medallion. Participants are not timed on their run.

50 Yard Dash – 2 & Under, 3 yrs, Pre-K, Kindergarten, 1st & 2nd Grade

100 Yard Dash – 3rd, 4th & 5th Grade

$10 Registration Fee includes t-shirt,

runner’s number and medallion

Volunteers are needed for the event!

Please contact Cheila Armour at 580-242-6131 or cheila.armour@cdsaok.org

Pre-Registered arrive at 9:30 a.m. on the day of the event.

To register, arrive at 9:15 a.m. on the day of the event.

The Non-Profit Center, 114 S. Independence.

Buzz Run Event Parking – use lots East of EHS track.
NO strollers on the EHS Track
If not pre-registered, please arrive at 9:15 a.m. with a parent to sign waiver.
If you are pre-registered and the event is cancelled, you can pick up your t-shirt & medal at 9:30 a.m. on the day of the event.

All participants will be entered into a raffle for door prizes such as soccer goals, balls, basketballs, tennis racquets and other health and fitness items. Must be present to win.

How many children would you like to register?*

Limit of 9

Child #1's Name*

First NameLast Name

Child #2's Name*

First NameLast Name

Child #3's Name*

First NameLast Name

Child #4's Name*

First NameLast Name

Child #5's Name*

First NameLast Name

Child #6's Name*

First NameLast Name

Child #7's Name*

First NameLast Name

Child #8's Name*

First NameLast Name

Child #9's Name*

First NameLast Name

Child #1's Age*

Child #2's Age*

Child #3's Age*

Child #4's Age*

Child #5's Age*

Child #6's Age*

Child #7's Age*

Child #8's Age*

Child #9's Age*

Parent's Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

Area CodePhone Number

Family E-mail*

What is Child #1's t-shirt size?*

What is Child #2's t-shirt size?*

What is Child #3's t-shirt size?*

What is Child #4's t-shirt size?*

What is Child #5's t-shirt size?*

What is Child #6's t-shirt size?*

What is Child #7's t-shirt size?*

What is Child #8's t-shirt size?*

What is Child #9's t-shirt size?*

Child #1's Age/Racing Group*

Child #2's Age/Racing Group*

Child #3's Age/Racing Group*

Child #4's Age/Racing Group*

Child #5's Age/Racing Group*

Child #6's Age/Racing Group*

Child #7's Age/Racing Group*

Child #8's Age/Racing Group*

Child #9's Age/Racing Group*

I know that my child’s running in Be Fit Kids events is potentially hazardous. I understand that my child must be accompanied by his/her parent/guardian. My child should not enter and run in the Be Fit Kids Buzz Run unless he/she is medically able. I agree to abide by any decision of a race official relative to my child’s ability to safely complete the run. I assume all risks associated with my child running, including but not limited to falls, contact with other participants, the effects of weather, including high heat or humidity, rain, the condition of the track, all such risks being known and appreciated by me. Having read this waiver and knowing these facts; and in consideration of your acceptance of my application, I, for my child, waive and release Be Fit Kids, CDSA and all members thereof and all further sponsors, their representatives, successors from all claims or liability of any kind arising from my participation in this event, even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I also grant permission to all the above groups to use any photograph, motion pictures, video, recordings, or any other record of this event for any legitimate purpose.

I agree to the above statement.

No Refunds * Scholarships are available *

Be Fit Kids is a program of CDSA

Method of Payment

CashPaypal

If "Paypal" is selected, you will be redirected to Paypal for payment to complete registration.

If "Cash" is selected, please submit fee to

CDSA

114 S. Independence

Enid, OK 73703 before May 1st.

Registration Fee

Buzz Run Registration Fee$10.00

Please select the number of children you are registering below in "Quantity".

Quantity
Item subtotal:$0.00

Subtotal $0.00Shipping $0.00Total $0.00