Pine Area Lions 5k Color Run Registration
Use this form to register for the 9th Annual Pine Area Lions 5k Fun Run! Details below:
  • Sunday, June 4th 2023
  • Robinson Park
  • Walkers/Strollers - 10:30
  • Runners - 11:00
Please arrive at least 15 minutes prior to your start time to check-in!

5k - Age 13+  - $25
5k/Cub - Age 12 & under  - $15
Cub Run (includes goody bag) - $10

(Prices dropped after t-shirt deadline; prices above DO NOT include a t-shirt.)

Click Here for Payment (we recommend you copy this link and open in a new browser window):  https://www.paypal.com/donate/?hosted_button_id=SLDNNE5M7EPG6 

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Email *
Participant Last Name *
Participant First Name *
Address *
Phone Number *
Participant DOB *
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If registering a child, parent/guardian name:
Age Bracket/Event  *
LIABILITY WAIVER
This MUST be signed in order to participate.

Waiver and Release

I hereby declare, assert and affirm that participation in Pine Area Lions 5K Run/Walk is done voluntarily and knowing I will assume ALL RISKS involved in this event. The immediate physical risks and hazards associated with normal, vigorous physical activity include (but are not limited to) physical discomfort, fatigue, muscular soreness, falls, pulled or strained muscles, overuse injuries, heat stress, and the rare instance of abnormal responses of the cardio respiratory system including heart arrhythmia, heart attack, stroke, and sudden death. In consideration of acceptance of this contract allowing my participation in the above stated event and intending to be legally bound thereby, I hereby for myself, my heirs, executors, administrators and assigns, WAIVE AND RELEASE any and all rights and claims for negligence, injuries, damages or losses that I may incur against all participating agencies involved in the about stated event, specifically Pine Area Lions, their respective volunteers and representatives for any and all activities connected with the above event. I also understand that I do hereby declare that my children that are participating in the Cub Run and/or walking/running with me during this event have chosen to do so under my supervision and I am knowingly assuming all risks involved in this event on their behalf. I agree to WAIVE AND RELEASE any and all rights and claims for negligence, injuries, damages and losses that may incur against any and all participating agencies involved in the above stated event for them.

I grant permission to all of the foregoing to use my photographs, motion pictures, recordings or any other record of the club for any legitimate purposes.  I understand that the club does not provide for refunds in the event of cancellations of services, and by signing this waiver, I consent that I am not entitled to a refund if any club activities including events are cancelled.

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