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2023 Run, White & Blue 5K

July 4, 2023 8:30 AM CDT
Centralia, KS

2022 Run, White & Blue 5K

EVENT-CLOSED

Extended Registration Code

COUPON-APPLIED

INVALID-SECONDARY-COUPON

PLEASE-PROVIDE-VALUE

PARTICIPANT 1

FIRST-NAME

REQUIRED

No emails or URLs allowed

IDENT.NAME_CHARS_LONG

LAST-NAME

REQUIRED

No emails or URLs allowed

IDENT.NAME_CHARS_LONG

BIRTH-DATE

IDENT.RACE_AGE_BETWEEN

REQUIRED

GENDER

REG-OPTION-GENDER-ERROR

PRIMARY-PHONE

PROVIDE-VALUE

EMAIL

EMAIL-CONFIRM

PROVIDE-VALUE

PARTICIPANT-CONDITION

ADDRESS

COUNTRY

PLEASE-PROVIDE-VALUE

STREET

PLEASE-PROVIDE-VALUE

STREET_2

POSTAL-CODE

VALID-ZIP

CITY

PLEASE-PROVIDE-VALUE

STATE/REGION

PLEASE-PROVIDE-VALUE

EMERGENCY-CONTACT

EMERGENCY-CONTACT

REQUIRED

RELATIONSHIP

PHONE

PROVIDE-VALUE

CONTACT-CANNOT-BE-EVENT-P

DATA-PRIVACY

EMAILS-REGARDING-REG-NO-PARAM

WAIVER

I am a voluntary participant in this event and I am medically able and properly trained.  I understand that running is a potentially hazardous activity, which could cause injury or death and I hereby assume full responsibility for any injury or accident which could occur during participation of this event and I hereby release and hold harmless the city of Centralia, its elected officials, employees, event planning committee, sponsors, volunteers and any other individuals associated with the event from any claims I may have arising out of my participation in this event and I assume all risks associated with running in this event, including but not limited to: falls, physical contact with other participants, volunteers, and spectators. I assume all risks including: the effects of the weather; high heat and/or humidity; traffic and the conditions of the road including surrounding terrain. I know there will be some traffic on the course and I assume any and all risk of running in traffic.  

I grant permission to all of the foregoing to use my photographs, motion pictures, recordings or any other record of this event for any legitimate purposes.  I understand that this event does not provide for refunds in the event of a cancellation, and by signing this waiver, I consent that I am not entitled to a refund if the event is cancelled before or during the event.

Select your Tank size

You will not receive a tank if registering after June 20th

Shirt

EVENT-STORE

CHECKOUT-SUMMARY

CORRECT_ERRORS_FOR_ENTRY

COMPLETE_REGISTRATION_FOR_ENTRIES

SUBTOTAL : $0.00
PROCESSING_FEE : $0.00
SALES_FEE :
TOTAL : $0.00
SUBTOTAL :
PROCESSING_FEE : $0.00
TOTAL_CHARGE_IF_SELECTED : $0.00
IF_SELECTED_CHECKOUT

PAYMENT-INFORMATION

NO-PAYMENT-REQUIRED
PAYMENT-INFORMATION-MESSAGE

YOU-REGISTERED



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