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Newsletters ***NEW**
Home
Agency Overview
Resources
Services
FAQs
Outreach
Volunteer Information
Online Chat
Client feedback
Contact
Donate/Fundraising Campaigns/Events
Poker Run
EDH Nominating form
Domestic Violence Awareness
Sexual Violence Awareness
Newsletters ***NEW**
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