First Name:

     Address:

            City:

          State:

             Zip:

         Email:

         Phone:

            Age:

            Sex:       Select One Female Male

  Shirt Size:       Select One Small Medium Large XL   Shirts may not be available after March 15th

Liability and publicity release: I know that running a road race is a potentially dangerous activity. I should not enter unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with running in this event including, but not limited to, falls, contact with other participants, the effects of weather, including heat and humidity, traffic and the conditions of the road, all such risks being known and appreciated by me. Having read this wavier and knowing the facts, and in consideration of accepting my entry, I for myself and anyone entitled to act on behalf waive and release Epsilon Pi chapter of Kappa Delta Sorority, the Town of Blacksburg, Virginia Tech, Kappa Delta, Race Officials, volunteers, and all sponsors, their representatives and successors form claims or liabilities of any kind arising out of my participation in this event. I grant permission to all of the foregoing those of any photographs, motion pictures, recordings, or records of this event for any legitimate purpose. This is a 5k-roadrace/walk and it is not intended for individuals with baby strollers, dogs on leashes, headphones, skateboards, bikes, skates, etc.

Agree With Waiver:       Select Yes

Select yes if you understand and agree with the above waiver.  You must agree with the waiver in order to participate in this event.

 Signature:       (Parent must sign if runner is under 18 years old)

Online Registration Closed