Virtual Running Event Registration Form

This is a virtual run event. It is allowed that the run can be completed in multiple runs and not just one as long as the distance is being recorded. You can also run at the time and place you wanted.

Start Date: May 15, 2021
Deadline Date: May 25, 2021

Rank

Gold Medal
Silver Medal
Bronze Medal

Name

First NameLast Name

Age

Gender

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

What race would you like to join to?

How will you complete the run?

T-shirt Size

Registration Fee

Payment Fee

Registration Payment Fee

$20.00Quantity

Total

Notes:

You need to start your run on the start date.
Your run should be completed before the deadline.
T-shirts will be sent to you via shipping/delivery.
We recommend you prioritize your health and safety.
We are not responsible or liable for any damage or injury that might happen during the course of the event.

Signature

Date Signed

Date