St. Mary's SuperHero Challenge 5K

Registration Information

Quantity
Price
Total
1Mile Fun Run
X
$
35.00=
$
0

Virtual Runner
X
$
35.00=
$
0

5K Race
X
$
35.00=
$
0

Final Total:
$
0

Primary Contact

Country*
State / Province*
Address*
City*
*
*
*
*
*
*
Email*
Confirm Email*
Phone*

YOUR Race Registration

Thank you for participating in this year's Super Hero Challenge 5K!  Please fill out the folllowing information to let us know which race YOU will be participating in.  Registering additional runners?  We'll collect their information in a section below.

Date of Birth

Additional Race Participants

Now you can tell us who will be running with you!  (For competitive 5K racers, please be sure to include each runners age and gender for awards categories)

5K Participants
1Mile Fun Run Participants (Name & t-shirt size)
Virtual Runner Participants (name & t-shirt size)

I/We know that running a road race is a potentially hazardous activity. I/We should not enter and run unless I/We am medically able to run and agree to abide by any decision of a race official relative to my ability to safely complete the run. I/We assume all risks associated with running in this event including, but not limited to, falls, contact with other participants, the effects of the weather, traffic, and the conditions of the road, all such risks being known and appreciated by me/us.

 

Having read this waiver and knowing these facts and in consideration of your accepting my entry, I/We, and anyone entitled to act on my behalf, waive and release St. Mary's Residential Training School, the Diocese of Alexandria, the City of Alexandria, Louisiana, and all volunteers and sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my/our participation in this event. I/We grant permission to all the foregoing to use any photographs, motion pictures, recording, or any other record of this event for any legitimate purpose.

Payment Information

Amount*
$
Name on Card*
Card Number*
Additional Comments

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