2021 Conrad Dash and Splash Registration
We are again offering  an online sign up option for the annual Dash and Splash!  This form will include all options as the paper copy and your 'signature' at the bottom will be typed.   The form is also available to download!  


The 5K walk/run & 10K run will be held on Saturday, June 12 - held during Conrad's Black Dirt Days Celebration.  (https://www.facebook.com/blackdirtdays) Registration begins at 7:00 a.m. at Reunion Park in Conrad with the race beginning promptly at 8:00 a.m.  The Conrad Family Aquatic Center is open to race participants and their families at the conclusion of the event.  There are also bathroom and shower facilities available to participants.  Post race refreshments are available as well as the annual Black Dirt Days Pancake Breakfast in the park.  

Please mail registration fees to:
Jami Willett
P.O. Box 247
Conrad, IA 50621

VENMO: dashandsplashconrad

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Email *
First Name *
Last Name *
Address *
City *
State *
Zip Code *
Select Division *
Select Race *
Age day of race *
Shirt Choice:  NO shirt  ($10 register by 6/6, $15 day of race), tshirt ($15 register by 6/6, $20 day of race) *
Shirt Size *
Registration Fees:  please mail to address above *
Release of Liability Statement
In consideration of your acceptance of this entry, I hereby, for myself, my heirs, executors, and administrators, waive any and all rights and claims for damages I may have against individuals associated with this event, it’s agents, successors and assigns, for any and all injuries suffered by me in said event. I attest and verify that I have full knowledge of the risks involved in this event and I am physically fit and sufficiently trained to participate in this event.
Digital Signature: please sign after reading the release of liability statement *
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