First Name:

                  Address:

                        City:

                       State:

                           Zip:

                     Gender: Choose One Male Female

               Birth Date:

  Age On Event Day:

                       Phone:

                        Email:

                         Event: Choose One 1 Mile Walk 5K Walk 5K 10K

                   Shirt Size: Choose One X Small Small Medium Large X Large XX Large

LIABILITY WAIVER:

If the waiver is not signed the registration will not be accepted

I know that running a road race is a potentially hazardous activity and that I should not enter and run 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 and wildlife, the effects of the weather, including cold and/or rain or snow, traffic and the conditions of the road and path, all such risks being known and appreciated by me. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release the organizers of the Run to Feed the Hungry, City of Idaho Falls, PERSONAL BEST Performance, TRIATHLON CLUB of Eastern Idaho, and all other sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event or carelessness on the part of the persons named in this waiver. Further, I grant permission to all of the foregoing to use any photographs, motion pictures, recordings, or any other record of this event for legitimate purposes.

  
                                          Waiver: Choose One Yes

                                      Signature:

Parent Or Guardian If Under 18:

Enter Amount Below, If you would like to make a donation pledge to the Run to Feed the Hungry.  Leave blank if you do not wish to make a donation.

  Donation Pledge: For the Run to Feed the Hungry. Please bring pledges to event.

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.

Online Registration Is Now Closed