Online Registration

7h Annual 5K Race for Relief

 

Rockingham County Fairgrounds, Harrisonburg, Virginia
Saturday, October 1, 2016
5K begins at 8:30am

Online Registration Is Now Closed

  

 

Location: Rockingham County Fairgrounds

Race Begins: 8:30 am

Arrival: Come between 7:30 and 8:00. Same day registration closes at 8:00. Find us in the field behind the auction building.

Cost: $25 online Or $30 On Site

T-Shirts: Free shirts for runners who pre-register online by September 21

Breakfast: Available by donation from 7:30-10:00

 

Please support Mennonite relief efforts around the world by participating
in the Virginia Mennonite Relief Sale’s 5K race

All runners, joggers, walkers, and jogging strollers are welcome!

 
 
   
   
Please notify garydsmith@runwalkjog.com if you experience problems with online registration.  For online registration a processing fee of $1.75 will be added to the registration fee for each participant.
                         
7th Annual 5K Race for Relief
  
                    Last Name:


                    First Name:


                                Age:


                                  Sex:


                         Address:


                                City:


                              State:


                                  Zip:


                             Phone:


                             Email:


         Church Affiliation: (Optional)


      Emergency Contact:

           Contact Number:

                   

                          Shirt Size:


Waiver & Release: In consideration of your accepting this entry, I, the below signed, intending to be legally bound, for myself, my heirs, my executors and administrators, waive and release any and all rights and claims for damages I may have against the race, and sponsors and their representatives, successors and assigns for any and all injuries suffered by me in said event. I waive any and all present and future claims for property damage, personal injury, or wrongful death, arising out of or as a result of participating. I attest that I will participate in this event as a footrace, that I am physically fit and sufficiently trained for the completion of this event. Furthermore, I hereby grant full permission to use my name and likeliness, as well as any photographs and any record of this event in which I may appear for any legitimate purpose, including advertising and promotion.


       Agree With Waiver:


    Participant Signature: (parents’ signature if under 18)


Online Registration Is Now Closed
 

   
Online Payments
   
          
   

Acceptance Mark
 

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