Online Registration

ACCRF 5K Race For A Cure
       
     

September 12, 2009

Online Registration Is Now Closed

Campbell University Cross Country Trail

Registration 6:00 AM

1 Mile Fun Run 8:00 AM

5K Race 8:30 AM

Post Race Picnic And Awards Presentation 9:45 AM

All Proceeds Will Go To Support the ADENOID CYSTIC CARCINOMA RESEARCH FOUNDATION

Additional Event Details www.accrf5krun.com

Fees
5K Before 8/15 $20
5K After 8/15 $30
1 Mile Fun Run Before 8/15 $15
1 Mile Fun Run After 8/15 $25  

   

Please Enter Participants Information and click below to proceed to a secure credit card processing page. To register more than one participant select the "Add Additional Registration" option after submitting each registration or just click on the "Back Button" in Your Browser to return to this page.

Please notify garydsmith@runwalkjog.com if you experience problems with online registration. For online registration a processing fee of $2.00 will be added to the registration fee.
     
                            
ACCRF 5K Race For A Cure
      
             Last Name:


             First Name:


                  Address:


                        City:


                       State:


                          Zip:


                    Gender:


               Birth Date:


  Age On Event Day:


                     Phone:


                      Email:


                      Event:


                Shirt Size:

LIABILITY WAIVER:

Official Rules: For Official Rules, call race director Kim Schmidlin at (910)263-1271 or email at info@accrf5krun.com

Waiver: I hereby attest that I am physically fit and have sufficiently trained for participation in this event. I assume all risks associated with running this race -- including, but not limited to falls, contact with other participants, the effects of the weather, traffic, and the conditions of the road -- all such risks being known and acknowledged by me. In consideration of your accepting my entry, I, the undersigned, waive and release ACCRF 5K Run, race officials and all race sponsors related to my participation in this race. Further, I give permission for the free and unrestricted use of my name and picture as a participant in the race for any legitimate purpose.

  
                                         Waiver:


                                      Signature:


Parent Or Guardian If Under 18:

If under 18 (Your legal parent/guardian must be present on race day to sign consent)



Online Registration Is Now Closed
                 

   
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