Finke's Rainbow 5K
Registration Form
Participant Details
Full Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact Person
First Name
Last Name
Emergency Person Phone Number
*
-
Area Code
Phone Number
Relationship to Emergency Contact Person
T-shirt Size
XS
S
M
L
XL
XXL
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 event.
I acknowledge that this road race requires physical activity and there are possible risks and danger.
I release the race event organizers for any responsibility in case of an accident, illness, or injury.
I allow my photo to be taken during the event and used for event advertising and marketing.
I confirm that all information in this registration form is accurate and true.
Participant's Signature
Date Signed
-
Month
-
Day
Year
Date
Parent/Guardian Signature (If participant is below 18 years old)
Registration Payments
Payment Method
*
Please Select
PayPal
My Products
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5K Run/Walk
$25.00
$
25.00
Donations
$50.00
$
50.00
Total
$0.00
$
0.00
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
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