7th Annual Patriot Color Splash 5K                    Online Registration
UPON REGISTRATION, PLEASE SUBMIT PAYMENT AND REFERENCE WHOM THE PAYMENT IS FOR.    

PAYMENTS CAN BE MAILED TO:

Hillsville Elementary School
90 Patriot Lane
Hillsville, VA 24343


Patriot Color Splash 5K Fun Run/Walk

When: May 9, 2020

Where: Hillsville Elementary School - Physical Address: 2605 Floyd Pike, Hillsville, VA 24343

Time: 7:30-8:30 Packet Pick-up; 8:30 race instructions; 9:00 race begins; 10:30 Color Palooza

Description:  The Patriot Color Splash 5K will be an untimed fun run/walk event. Enjoy the scenic views around Hillsville Elementary Patriot's Trail, while being "splashed" with different colors.  The "color splash" is dyed cornstarch that is 100% non-toxic and completely biodegradable.  Eye protection is suggested.  All proceeds will go towards Hillsville Elementary School's playground fund.

Registration: Early Bird Special - $15 for students (age 18 or under) or $20 for an Adult (before April 22nd)
 
           After April 22nd - $20 for a Student or $25 for an Adult

** To be guaranteed a t-shirt, make sure you are registered before April 20th 2019


Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
Street Address *
City *
State *
Zip *
Date of Birth *
MM
/
DD
/
YYYY
Age *
E-mail Address *
Phone Number *
Shirt Size *
WAIVER:
I Understand that running/walking a road and trail combined course is potentially dangerous activity.  I should not enter and run/walk unless I am medically able and properly trained. I agree to abide by and decision of a race official relative to my ability to safely complete the run/walk.  I assume all risks associated with running or walking in this event, including but not limited to fall, contact with other participants, the effects of the weather, traffic and the condition of the roads and trails.  Having read this waiver and knowing these facts and in consideration of your accepting my entry, I myself and anyone entitled to act on my behalf, waive and release Hillsville Elementary, HES PTSO, race officials, Volunteers and all sponsors from all claims and liabilities of any kind arising out of my participation in this event.  I give race officials permission to photograph and/or videotape me during the event, and use my pictures and/or video recording in future publications.  I have read the above release and understand that it presents a risk of physical injury, knowing this I am entering this event at my own risk.  I understand that this event will occur rain or shine, and that there will not be any refunds.
I agree to the Waiver above: *
Electronic Entry Signature *
Electronic Parent's Signature                                 (required for those under 18) *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Carroll County Public Schools. Report Abuse