Run for the Murals 5K

Saturday, March 5, 2016   |   9 a.m.   |   Poplar Head Park, Downtown

Race Day Registration begins at 8 a.m.

Entry Fee: $20 with t-shirt. Register by February 24th to guarantee shirt. No shirt option: $15

Packet pickup and pre-race registration: Friday, March 4 from 5:30 to 8 p.m. at The Nature Gallery (156 North Foster Street)

Registration & Waiver Form

 

• Name*
• Address*
  Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code
• Phone*
• Email*
• Select Sex*
  - Select One -MaleFemale
• Select Race*
  - Select One -RunWalk
• Age (as of March 5, 2016)*
• Do you want a t-shirt?*
  • Yes
  • No
• Select Shirt Size*
  - Select One -SmallMediumLargeX-LargeXX-Large
  Shirts guaranteed to Pre-Registered Entrants Only
• 
  

  Waiver

  I know that running a road race is a potentially hazardous  activity.  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; the effects of weather, including high heat and/or humidity; traffic; and the conditions of the road, 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 Dothan Runners Club, Murals of the Wiregrass Committee, the City of Dothan and all race sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in the RUN FOR THE MURALS 5K.

• Acknowledgement of waiver.*
  • I have read and agree to the waiver above.
• Registration with t-shirt
  Price: $20.00
• Registration without t-shirt
  Price: $15.00
• Credit Card
  American Express

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  MasterCard

  Visa

  Card Number Month010203040506070809101112 Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Expiration Date   Security Code Cardholder Name
• 
  
  

  No entry accepted without required fee.  No refunds. For more information contact LARRY DYKES at (334) 792-6021 or drcprez@yahoo.com.