Online Registration

Project Congo 5K
April 6, 2013

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Project Congo is a local based charity working to help women and children in the Democratic Republic of Congo. Since 1994 the Congo has seen constant warfare, widespread rape, starvation and disease. To learn more about the situation in the Congo and our work there please visit our website at: wwwprojectcongo.org
       

9:00 A.M. Wegerzyn Gardens MetroPark Dayton, Ohio
1301 E. Siebenthaler Ave. Dayton, Ohio 45414
 

Directions: From I-75 take First St east to north on Patterson Blvd or N Main St. At Siebenthaler Ave turn right (East), Wegerzyn Gardens MetroPark is on the left. Parking is available at the Park.

Why do this event? To raise awareness of the crisis in the Congo and help bring health and hope to the innocent victims of warfare and violence. This event can help you promote your own health as well as educate, enlighten and inspire you! The situation in the African Congo has effects on all of us, learn how we may be contributing to this and how we can stop it. An educational event will be held after the Run/Walk to include local Congolese speakers, musicians, and dancers. Become a part of the world! Learning and experiencing new things is exciting, helping you to grow into the bigger society.......the world we all live and share...

Check-in and Registration: 8:00-8:45 AM Awards: Top 3 Male and Female Overall and Top 3 in age categories. Fees: (Non-refundable) $20 includes T-shirt and refreshments if registered by March 27, 2013 Make it a team effort! For groups of 10 or more, registration is $15 per person if registered by March 27, 2013. Registration is $25 after March 27, 2013 and on race day (Shirt cannot be guaranteed). Special students fee: $10 pre registered, $15 after March 27.

Additional information and downloadable registration form.  Registration Form PDF
  

  

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 $1.75 will be added to the registration fee for each participant.
      

Project Congo 5K
 
   Last Name:


   First Name:


        Address:


               City:


             State:


                Zip:


            Email:


           Phone:


Age On Race Day:

                     Event:     

Team Name:


        Gender:

T-Shirt Size:  

In consideration of your accepting this entry, I, the undersigned, intending to be legally bound hereby, for myself, my heirs, my executors and administrators, voluntarily assume all risks of injury to my person and damage to my property; agree to abide by all ordinances of Five Rivers MetroParks and all rules, regulations, and directions, if any, of this event; waive and release any and all rights and claims for damages I may have against Project Congo, Key Sports and Business Promotions, Five Rivers MetroParks, their representatives, employees, officials, volunteers, successors, and assigns for any and all injuries and damage to me or my property in said event; and agree to indemnify defend and hold those same organizations and individuals harmless from any claims for injury or damage to myself and to third persons or their property from this event. I attest and verify that I am physically fit and have sufficiently trained for the completion of this event, and my physical condition has been verified by a licensed medical doctor., and its assigns and any news media, radio, movie, or TV producer, having permission from or acting for the benefit show and reproduce my name, photograph, pictures, and films taken of me by any of those mentioned above.

Agree With Waiver:


    Participant Signature:   (Parents Signature required if under 18)


      Emergency Contact:    


        Emergency Phone:     



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.

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