Stars, Stripes, and Strides 5K Run/Walk Online Registration

Registrant #1

Who are you registering? *

First Name *

Last Name *

New RunSignup account details

Email Address *

Confirm Email *

Create Password *

Must meet two of the following requirements: Must meet three of the following requirements:

Requirements Met

Confirm Password *

Passwords Match

Date of Birth *

Format: mm/dd/yyyy

Used for age group calculations

Gender *

Male Female

Non-Binary

Phone *

Valid formats include: 000-000-0000 or 0000000000

Street Address *

Country *

Zip Code *

City *

State *

Choose Your Event *

5K Run and Walk

$30.00 + $3.24 SignUp Fee

(Group Pricing)

Waiver

PLEASE READ CAREFULLY. I/We hereby agree to release and waive any claim or cause of action which may occur against Monroe Parks and Recreation, authorized persons, or agencies participating in the 5K run/walk, arising out of any injury to the person or property during the 5k run/walk. I/We hereby agree and consent to the City of Monroe Parks and Recreation staff securing emergency medical attention, if necessary. I/We hereby agree and consent to the use of photographs for publicity purposes associated with the 5k run/walk.

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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Stars, Stripes, and Strides 5K Run/Walk

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New RunSignup account details

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Waiver

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Registrant #1

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New RunSignup account details

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Waiver