Online Registration

Springville Apple Run

    
    

Saturday, October 21, 2017

8:00 am Kids Run

8:30 am 5K/10K/2M

*** There will be NO Race Day Registration. All Participants must be Pre-Registered by Midnight on October 14, 2017.

  

Online Registration Below or Mail In Registration Download and Print Form .pdf

Fees:

By October 7th

By October 14th

Adults

$30

$35

Youth (12 & Under)

$20

$25

Seniors (60 & Over)

$20

$25

 
 

Please Enter Participants Information and click below to proceed to a secure credit card processing page. To register more than one participant select the "Add Additional Registration" option after submitting each registration or just click on the "Back Button" in Your Browser to return to this page.

Please notify garydsmith@runwalkjog.com if you experience problems with online registration.  For online registration a processing fee of $2.00 will be added to the registration fee for adults and $1.50 for youth and seniors Please fill out form completely for registration to be accepted.

   
Springville Apple Run
   
           First Name: 


           Last Name: 


  Mailing Address: 


                       City: 


                     State:


               Zip Code: 


                Country: 


                   Phone: 


     Email Address: 


Age on Race Day:


       Date of Birth:  _ _/_ _/_ _ _ _


                 Gender: 


                    Event:  


              Shirt Size:  


Full Waiver & Release

Full Waiver and Release: I am aware this event is a cross-country race on a working cattle ranch and that participants will be running on uneven, sometimes dangerous terrain, and that in consideration for my entry being accepted, I hereby waive and release forever for myself and for my heirs, executors, administrators, any and all claims, causes of actions and suits I may accrue against the Apple Festival Committee, the Springville Community Club, Springville, County of Tulare, property owners on whose property the race is run, race director, volunteers and any sponsors of this race for any bodily injury, emotional injury, property the race is run, race director, volunteers and any sponsors of this race for any bodily injury, emotional injury, property damage or economic loss, including death suffered by me while traveling to and from or competing in the Springville Apple Festival 5K, 10K, 2 Mile Walk, or Half Mile Kids Run on October 21, 2017 whether from natural hazards, human-made hazards or any other defect or omission or act. 

I accept the full waiver and release:


              I accept on behalf of minor:

                                          Electronic Signature.  Please Type Name.
          Signature:  Signature Required for all Participants.  Parent or Guardian must sign for Minor.


Name of Minor:


                  Fees: 



 
   
Online Payments
   
          
 

Acceptance Mark
 

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