15th Annual Kick For Kenya: 5K, 10K, 1K & Kids Fun Run Online Registration

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) *

Kick For Kenya: 5K

$40.00 + $3.50 SignUp Fee

(Group Pricing)

Kick For Kenya:10K

$40.00 + $3.50 SignUp Fee

(Group Pricing)

Kick For Kenya: Kids 1-K

$25.00 + $3.25 SignUp Fee

(Group Pricing)

Kick For Kenya:5K Walk

$40.00 + $3.50 SignUp Fee

(Group Pricing)

5K Virtual Run

$40.00 + $3.50 SignUp Fee

(Group Pricing)

Would you like to join or create a Group/Team?

Yes No

Waiver

I understand the risks involved in participating in the Kick for Kenya Fun Run/Walk and willingly voluntarily accept these risks. I attest that I am physically fit and prepared for this event. I grant permission for the organizers to use photographs/images and quotations from me in accounts and promotions of this event. I will hold harmless and without liability Golf Course Road Church of Christ,KWO Ministries, its assignees, the race coordinators, and the City of Midland for any accident or injury that may occur as a result of my participation in the run/walk event. Please sign below

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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15th Annual Kick For Kenya: 5K, 10K, 1K & Kids Fun Run

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Registrant #1

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Choose Your Event(s) *

Would you like to join or create a Group/Team?

Waiver

Create your own Team! Pricing

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