5K Race Online Registration - BEFORE AUG 1, 2017

Please complete the form below and you will be directed taken to a new page with payment options.

Do not use this form for registration after Aug 1st, 2017.

If you would prefer to mail your form and payment in please click here.

Full Name:

Parent Name (if participant is under 18)

Address:

City, St., Zip:

Email:
Phone:

Age:

Sex:

Registering for:

T-Shirt Size:

Disclaimer:
I know that running a road race is potentially dangerous activity. In consideration of the acceptance of this entry to the Wings of Kindness Wildcat 5K Race, I waive all claims for myself, my heirs, and assigns against the sponsors, cooperating and coordinating groups and any individuals associated with the event and will hold them harmless for any and all injuries or illness which may result from my participation. I further state that I am in proper physical condition to participate in this race. I also grant permission for my name and/or picture to be used by the media in any account of this race without further consideration.

I have read the disclaimer and would like to register:

I confirm that I am 18 years or older:

Did you participate last year in our 5K or Fun Run?

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P.O. Box 225 Thompsontown, PA 17094 | E-Mail: wings@wingsofkindness.org | Phone (717) 463-3615