Run With A Mission 5K - 2022 (Household Registration; 3-5 people)

T-shirts cannot be guaranteed for those registering Sept. 14 or after.

Name

Name and age - person 2

Name and age - person 3

Name and age - person 4

Name and age - person 5

This address will receive a confirmation email

Phone

Address

Payment $75.00

T-Shirt Size

Adult XL Adult Large Adult Medium Adult Small Child Large Child Medium Child Small

T-Shirt Size

I acknowledge that my participation in the Run with a Mission 5K Fun Run and Walk involves a risk of injury, including bodily injury, and assume the risk for same. On my own behalf and on behalf of the other participants of my household, as well as our heirs and legal representatives and to the fullest extent permitted by law, I hereby release and discharge Alleluia! Lutheran Church, it's staff, officers, volunteers and members from any and all liability for injury, death, or damages and/or any other claims, demands, losses or damages, incurred by me in connection with any aspect of the 5k run and walk.

I agree

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Run With A Mission 5K - 2022 (Household Registration; 3-5 people)

Description

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