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2020 Cruisin' Crusaders 5K and One Mile

Please complete the form below. Required fields marked with an asterisk *

Participant's First Name*

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Participant's Last Name*

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Gender*

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Female

Male

Age as of February 22, 2020*

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Event*

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5K Race

One Mile Run/Walk (untimed)

T-shirt Size (unisex)*

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Email Address*

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Phone Number*

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Street Address*

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City*

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State*

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Zip Code*

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Emergency Contact*

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Emergency Contact Phone Number*

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Team Name (optional)

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Waiver: I, the participant, hereby waive or release any and all right and claims for damages or injuries that I may have against Concordia Lutheran High School, Event Director, all of their agents assisting with the event, sponsors and their representatives and employees for any and all injuries to me or my personal property. This release includes all injuries and/or damages suffered by me before, during, or after the event. I also authorize the use of photographs or videos that include my image for promotional, informational, or other reasons deemed to be in the best interest of the event.*

Answer Required

I agree (Signed by Participant)

I agree (Signed by Parent/Guardian for Participant under the age of 18)

Upon submission you will be taken to the online payment page where you can pay for multiple entries.

However, please complete this entry form separately for each participant.

Confirmation Email

Confirmation Email *

Email Required