Annual Armed Forces 5K walk/run Registration

El Portal’s 9th Annual Armed Forces Day 5K Run/Walk
Saturday, May 20, 2017

Please fill out the registration and waiver form below or download and fill out the form.

Once you have filled out the form below, you will be redirected to PayPal to pay your registration fee.

Questions? Contact, Councilperson Harold E. Mathis at hmathis@villageofelportal.org or
Mayor Claudia V. Cubillos at mayorcubillos@villageofelportal.org or call 305 795‐7880 EXT 5

First Name*

MI*

Last Name*

Age Race Day*

Gender*
 male female

T-Shirt Size*
 S M L XL XXL

Email*

Address*

City*

State*

Zip Code*

Home Phone

Work Phone

Emergency Contact Name*

Emergency Contact Number*

Registration Fees*
 El Portal Residents $20 Non-El Portal Residents $25 Military FREE with ID

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 to complete the event. I agree to abide by any decision of a race official relative to my ability to safely complete this run within the designated time limit. I assume all risks associated with running in this race, including, but not limited to falls, contact with other participants, runners, bikers, horses and other animals, the effects of weather, including heat or cold and precipitation, traffic, and the conditions of the trails and roads, 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 for whom I am entitled to act, waive, release, and will hold harmless the race organizer, Village of El Portal, all other sponsors and property owners, and all the agents, employees, officers, directors and volunteers working for those entities from all claims and liabilities of any kind arising out of or related to my participation in this race. I understand that headphones, baby joggers or strollers, roller skates and dogs are not allowed in this race/run/walk.

Signature of Entrant (or Parent or Guardian if under 18)*
Please use your touchscreen or mouse to sign in the area below.

When you click "Register", you will be redirected to PayPal to pay the registration fee. El Portal residents ($20) and non-El Portal residents ($25) must pay the fee in order to complete your registration.

If you are a member of the Armed Forces, thank you for your service! Military is FREE with military ID.