2019 A.W.A.R.E. Online Registration Form

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Runner #1 Last Name*

Runner #1 First Name*

Kids Fun Run or 5K * 

Kids Fun Run ($10.00) 5K ($25.00)

Birth Date for 5K*

Example: 05/05/1968

Gender * 

Adult & Kids T-shirt Sizes * 

Adult-long sleeved 50/50 t-shirt. Kids short-sleeved t-shirt.

Runner #2 Last Name

Runner#2 First Name

Select Kids Fun Run or 5K

Kids Fun Run ($10.00) 5K ($25.00)

Birth Date

Example: 05/05/1968

Gender

Adult & Kids T-shirt Sizes

Adult Long-Sleeved 50/50. Kids Short-Sleeved t-shirt.

Runner #3 Last Name

Runner #3 First Name

Select Kids Fun Run or 5K

Kids Fun Run ($10.00) 5K ($25.00)

Birth Date

Example 05/05/1968

Gender

Adult & Kids T-shirt Sizes

Adult Long-Sleeved 50/50 t-shirt. Kids Short-Sleeved t-shirt.

Daytime Phone Number*

Email Address*

Waiver * 

WAIVER: I know that running a road race is a potentially hazardous activity. I attest and verify that I am medically able and properly trained to enter and to complete this event. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with running this event including but not limited to: falls, contact with other participants, the effects of weather, including high heat or humidity, traffic and the conditions of the roads and bridge, all 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 City of Storm Lake, race officials, volunteers and all sponsors, their representatives and successors from claims or liabilities of any kind arising out of my participation in this event. I understand that all entries are final, with no refunds, and that the race organizers reserve the right in the event of an emergency or local or national disaster to cancel the race or to change the day and/or time of the event and that there is no refund of entry fees. I grant permission to all the foregoing to use any photographs, motion pictures, recordings or any other record of this event for any legitimate purpose. All entry forms must be signed. Incomplete, unsigned/unchecked forms will not be accepted.

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Description

12th Annual A.W.A.R.E. 5K Walk/Run and Kid’s Fun Run is Saturday, September 21, 2019. Race begins at 8:00 a.m. Kid’s Fun Run begins at 8:45 a.m. Must register by September 12, 2019, to guarantee a t-shirt.