Register For
Jack's Forever 3 "Still Running" 5K Run/Walk

Bright, IN 47025

Registrant #1

Who are you registering? *

By selecting this box, you are indicating that you are the parent/guardian of the person you are about to register. Additionally, if the child is under the age of 13, you are consenting to the collection and use of the information about the child for the purpose of the registration as described in our privacy policy.

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Basic Info

To be able to access / edit your registration.

Additional Information

Format: mm/dd/yyyy
Used for age group calculations
Format: ###-###-####


Choose Your Event(s) *

$20.00 + $2.50 SignUp Fee

$20.00 + $2.50 SignUp Fee


WAIVER/RELEASE: In consideration of the acceptance of my entry, I hereby waive, discharge and release on behalf of myself, my heirs, executors, and assigns, all claims of any nature arising from my participation in the Jack’s Forever 3 Foundation, Inc.’s 5k Run/Walk and do hereby release the Dearborn County Government, included but not limited to, the Dearborn County Commissioners, the Dearborn County Sheriff's Department, and the Dearborn County Highway Department, the city of Bright, Indiana, and the family of Allan Carpenter, all sponsors, workers, officials and volunteers from any claim whatsoever arising from my participation in this event. I agree to abide by all rules for participation. I understand the risks involved in such a run/walk, and I am physically _t and trained adequately in preparation for this event. I also give my permission to Jack’s Forever 3 Foundation, Inc.’s my permission to use any photographs, video or other recordings of me that are made during the course of this event.

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