Home
Agency Overview
Resources
Services
FAQs
Outreach
Volunteer Information
Online Chat
Client feedback
Contact
Donate/Fundraising Campaigns/Events
Poker Run
EDH Ticket
EDH Nominating form
EDH Sponsor Page
Domestic Violence Awareness
Home
Agency Overview
Resources
Services
FAQs
Outreach
Volunteer Information
Online Chat
Client feedback
Contact
Donate/Fundraising Campaigns/Events
Poker Run
EDH Ticket
EDH Nominating form
EDH Sponsor Page
Domestic Violence Awareness
Payment and Registration forms are due by September 13, 2019. If registering after September 13, 2019 there is no guarantee that a T-Shirt will be available for registrant.
*
Indicates required field
First Name
*
Middle Name
*
Last Name
*
Gender
*
Select One
Female
Male
Age (On Race Day)
*
Mailing Address
*
City
*
State
*
Zip
*
Registration Type
*
Individual
Group/Team
Group/Team Name
*
Phone Number
*
Email
*
If your are part of a Group/Team, please list the other members:
*
Shirt Size - T-Shirt included in registration fee, not guaranteed for late entry.
*
Select One
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2X
Adult 3X
Youth Smal
Youth Medium
Youth Large
Youth XL
*
I agree to the above Terms and Conditions
Please type your name as your signature of acceptance of the above Terms and Conditions
*
Event Disclaimer:
Running a 5K may involve risks of serious injury. The physical strain of a long distance run can lead to serious health problems. I have read the above and understand this statement and agree to assume all risks of personal injury or other physical or emotional ailment. I hereby waive all liability claims against the Catherine Cobb Safe House or Hidden Lake Gardens, and all other sponsors.
A registration form must be filled out for all entrants into the 5K event. Please fill out the registration form for all participants including children.
Submit & Payment