Individual Registration Form
Registration is free!
Mr.
Mrs.
Ms.
First Name:
Last Name:
Gender:
Male
Female
Age:
Street Address:
City:
State:
Zip:
E-mail:
Youth Organization Representing:
Enter the name of the youth organization you plan to raise funds for at the WalkRun.
Event you plan to participate in:
select one
5K Run
10K Run
5K Walk
5K Family Walk
Kids 1/4 Mile Run
Please read before submitting.
I acknowlege there are risks of physical injury to WalkRun With Christ participants and I agree to assume to assume full liability of any injuries, damages, or loss regardless of severity which I or my child/ward may sustain as a result of participating in activities connected or associated twith this program. By submitting this form I agree to these terms.
