Single Race

$20 for ages 18 and up

$10 for ages 17 and under

Emergency Contact Phone: *

Address: *

Name: *

Single race 17 and under

$10

Gender: *

Printable Registration Form (.pdf)

Phone: *

Both races 17 and under

$20

Single race 18 and up

$20

Make a secure payment through PayPal. An account is not required. Add Registration Fee for each participant. Includes handling fee charged by PayPal.

Running with the Herd 5K

Registration

Both Races

$30 for ages 18 and up

$15 for ages 17 and under

Fees are non-refundable

Email: *

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I am aware that participating in the 5K Family Fun Run can be a dangerous activity involving MANY RISKS OF INJURY. I understand that the dangers and risk of participating in the above event include, but are not limited to, death, serious neck and spinal injuries which may result in complete or partial paralysis, brain damage, serious injury to virtually all internal organs, serious injury to virtually all bones, joints, ligaments, muscles, tendons, and other aspects of the muscular skeletal system, aggravation of underlying disease which could result in illness such as a heart attack or stroke, and serious injury or impairment to other aspects of my body, general health and wellbeing. I understand that the dangers and risk of participating in the above event may result not only in serious injury, but in a serious impairment of my future abilities to earn a living, to engage in other business, social and recreational activities, and generally to enjoy living. I acknowledge that I am in good physical condition and do not know of any condition or reason that I should not be able to participate in the 5K Family Fun Run. I recognize and acknowledge that The STARS Foundation does NOT carry special health insurance that would provide such special insurance coverage for me in the event I should sustain an accidental injury while participating in the 5K Family Fun Run. I understand the risks involved in this activity and I am voluntarily participating in the 5K Family Fun Run. By my signature below, I hereby recognize and assume all risks associated with the event, waive any claim that I might have arising out of this activity, and agree to release and hold harmless The STARS Foundation, its employees, agents, representatives, and volunteers harmless from any and all obligations, liabilities, claims, demands, costs, and expenses, including attorney’s fees, or demands of any kind and nature whatsoever which may arise by or in connection with my participation in any activities related to the event of the 5K Family Fun Run. The terms hereof serve forever as a release and assumption of risk for my heirs, estate, executor, administrator, assignees, and for all members of my family. The invalidity of any portion of this Agreement shall not affect the remaining portions. In signing this Waiver, I acknowledge and represent that I have read it, understand it, and sign it voluntarily as my own free act and deed; no oral representations, statements, or inducements, apart from this Waiver have been made. *

I have read and agree to the terms listed above.

Shirt Size: *

Both races 18 and up

$30

Registration Fee must be paid when submitting form to complete registration. Select your registration type and click the corresponding "Add to Cart" button to pay your fee through PayPal.

In Case of Emergency please notify: *