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Hawaii 5K - Registration Form
Instructions: Please print this form, fill out the information carefully and completely, and sign the waiver. Mail this registration form and your payment to the address below or drop it off in person. Please use a separate form for each entry.
Mail To:Shoreline Christian Center
The Hawaii 5K Run & Fun Walk, Attn: Sports Ministry
15201 Burnet Rd., Austin, TX 78728
Deadline: We will accept registration entries up to Race Day (race day registration fee applies), but we encourage you to register by Thursday, July 12 so that we'll have your packet ready before designated Packet Pickup.
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Last NameFirst Name
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Address
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CityStateZip
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Daytime Phone No.Evening Phone No.
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AgeMale / FemaleEmail Address
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T-Shirt-Size
___ Medium
___ Large
___ X-Large |
Payment
___ $12.00 for Adults
___ $8.00 for Kids under 12 |
Waiver — You must sign the waiver to participate in this race.
In consideration of your acceptance of this entry form, I hereby release the sponsors, officials, owners of facilities used for this race and any and all groups, people or facilities connected with the Hawaii 5K Run/Walk for any and all injuries by me at said race. I further certify that I am physically fit to participate in the run/walk.
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Please Sign Your Name |
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