2024 5K Online Registration Form **Scroll down for Online form** 2024-5K-Registration-Form-1Download Please enable JavaScript in your browser to complete this form.Name *FirstLast**Only one person per race entry**Age (on 5/4/24): *Gender *Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeBirthdate (mm/dd/yyyy) *Phone Number *Email *If a part of a team, please include team name:Race: *PhantomVirtualHow will you be paying for your registration? *PayPalDebit/Credit CardCheck/CashT-Shirt Size-**T-shirt size and or t-shirts are not guaranteed after 4/26/24** *ASAMXLXXLI want a t-shirt, but I DO NOT want a race day bagI DO NOT want a t-shirt or a race day bag**Unless marked, every one that is registered on or before 4/26/24 will receive a t-shirt and race day bag** T-shirts and t-shirt sizes are not guaranteed after 4/26/24** Race Entry Type *Individual Entry – $30.00Team entry – $23.00Total$0.00 Participant Signature: * Clear Signature LIABILITY RELEASE: I, the undersigned, intending to be legally bound, and in consideration of my application for entry into the above-referenced event, hereby for myself, my heirs, executors, administrators, legal representatives, successors and assigns, assume all risks and damages against the Run for the Son 5K, Fun Run, Tot Trot, officers, agents and employees, and all volunteers participating in this event, and agree to hold harmless and indemnify those parties from any claims of any nature arising out of my participation in this event. I acknowledge the inherent dangers of participating in a road race and fully assume the risks associated with same. I further verify that I am physically fit for participation in this event and that I have no condition that would preclude such participation. My execution of this agreement releases the said officers, agents and employees from liability for any act or omission, which causes injury or damage to my person or property related to their organization and operation of this event, and my participation therein. .Signature of Parent (if under 18) Clear Signature Submit