Online Registration

2010 Health And Fitness Run
       

Date
Saturday, March 20, 2010

 

Time
9 am

Location
Community Park Idaho Falls

Distances
5K and 10K
      
 

 

  

 

       

 
Entry Fee: Pre- Registration - $20.00 Until February 15, 2010

Pre- Registration - $22.50 Until February 28, 2010

Registration - $25.00 through March 13

Those whose registration forms processed after February 28 will receive a commemorative run shirt but the size cannot be guaranteed.

 

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 for each participant.

  

                          
Health Fitness Run March 2010
      
             Last Name:


             First Name:


                  Address:


                        City:


                       State:


                          Zip:


                    Gender:


               Birth Date:


  Age On Event Day:


                     Phone:


                      Email:


        Event Distance:


                Shirt Size:

LIABILITY WAIVER:

If the waiver is not signed the registration will not be accepted

LIABILITY WAIVER MUST BE SIGNED:
I know that participating in a trail running event is a potentially hazardous activity and that I should not enter and complete unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the event. I assume all risks associated with running in this event including, but not limited to: falls, contact with other participants and wildlife, the effects of the weather, including cold and/or rain or snow, traffic and the conditions of the road and path, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release the organizers of the Community Fitness Run, Bonneville County, City of Idaho Falls, State of Idaho, PERSONAL BEST Performance, and all other sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event or carelessness on the part of the persons named in this waiver. Further, I grant permission to all of the foregoing to use any photographs, motion pictures, recordings, or any other record of this event for legitimate purposes.

  
                                          Waiver:


                                      Signature:


Parent Or Guardian If Under 18:



                 

   
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