Tomato Show 5K Online Registration

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Registrant #1

Who are you registering? *

First Name *

Last Name *

Email Address *

Confirm Email *

Create Password *

This will be the password for your RunSignup account.

Confirm Password *

Date of Birth *

Format: mm/dd/yyyy

Used for age group calculations

Gender *

Male Female

Phone *

Valid formats include: 000-000-0000 or 0000000000

Street Address *

Country

Zip Code *

City *

State *

Choose Your Event(s) *

5K Run/Walk

$25.00 + $2.50 SignUp Fee

(Group Pricing)

Waiver

In consideration for the foregoing, I, for myself, my executors, administrators, and assigns, do hereby release and discharge the FREDERICKTOWN TOMATO SHOW BOARD OF DIRECTORS, Fredericktown School District, Village of Fredericktown, and private property owners from claims of damage, demands, action and causes of action whatsoever in any manner arising or growing out of my participation in said run. I have full knowledge of the risks involved and certify that I am physically fit and sufficiently trained to participate in this race.

By checking this box, I agree to the waiver and that I am 18 or older, or that I have the authority to register these participants and agree to the waiver for them, and agree to the Privacy Policy.

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Tomato Show 5K

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Waiver

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