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Registration

First Name *
Last Name *
Address *
Street
 
City/State/Zip  
Phone Number *( ) -
Email *
Volunteer Only if volunteer only enter 0 participants below *
      I only want to volunteer 
I will be running 

Donation

All proceeds for the RUNNING on ENKI 5K Run will benefit upgrades toVictoria’s Diethelm Park and Holy Family music programs. If you wish to make a special contribution directly to this program, please donate below. Thank you! (not required)


Additional Donation

Emergency Contact

Please enter an emergency contact
Name *
Emergency Phone *( ) -

Waiver and Release

I recognize that presence at and involvement with this event have a certain degree of risk, and I knowingly and voluntarily assume the risk, whether expected or unexpected, of any injuries regardless of severity, including death, and all risk of damage to or loss of property which I may incur due to any act of negligence or accidental occurrences while I am participating in the RUNNING on ENKI activities. I voluntarily assume the risk of any and all means of transportation utilized in relationship to the RUNNING on ENKI n activities. I am not required to participate in this event/activity. My participation is wholly voluntary. I am aware of the dangers and the risks to my person and property involved in participating in this event/activity, and that I should not enter and participate unless I am medically able and properly trained. Risks associated with my participation in this event/activity include, but are not limited to, falls, contact with other participants, effect of weather, traffic, and conditions of the road. All such risks are known and understood by me

I understand and agree to the waiver and release *

Participants

How many participants 13 or older will be running (include self)?

First Name *
Last Name *
Shirt Size *
Birthdate   
Age on Race Day *
Wheelchair Entrant * No 
Yes 
Gender * Male 
Female 



* = required field

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