Chocolate Bunny 5K/Kids Run

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Team name   First name   Last name   Email address   Age on event date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 Gender -- Male Female   Phone #   Address   Emergency contact name   Emergency phone #   City   Zip code   State   Country   Distance Choose one 1 Mile 5K   Category Choose one Kids 1 Mile (Under 16) Choose one 5K Run/Walk Virtual   Event entry fee increases after April 16, 2019 Event entry fee TBD

Want to purchase a T-shirt?  * NoYes   12.00 USD If yes, choose size (Unisex) No Shirt chosen Youth Small Youth Medium Youth Large Small Medium Large Extra large 2XL 3XL How did you hear about the race? Facebook Flyer Friend Newsletter Past participant Medal Preview View image Optional T-Shirt Design View image

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Please review the waiver provided by the event organizer and click the check box below to accept it. Print waiver In consideration of you accepting this entry, I, the participant, intending to be legally bound and hereby waive or release any and all right and claims for damages or injuries that I may have against the Event Director, RunYourRaceAZ.com, and all of their agents assisting with the event, sponsors and their representatives and employees for any and all injuries to me or my personal property. This release includes all injuries and/or damages suffered by me before, during or after the event. I recognize, intend and understand that this release is binding on my heirs, executors, administrators, or assignees. I also authorize the use of photographs or videos that include my image for promotional, informational, or other reasons deemed to be in the best interest of the event. I certify as a material condition to my being permitted to enter this race that I am physically fit and sufficiently trained for the completion of this event and that my physical condition has been verified by a licensed Medical Doctor. By submitting this entry, I acknowledge (or a parent or adult guardian for all children under 18 years) having read and agreed to the above waiver. I accept the terms of the waiver Name of parent or guardian who approves this activity Please enter your name here