Register 2013

Register Today! Online registration will be open until Thursday, May 16th.
Registration Fee with No T-Shirt: $5
Registration Fee with T-Shirt: $15

You can mail your fee and/or t-shirt payment to the
Columbus County Farmers Market at P.O. Box 888, Whiteville, NC 28472
or turn it in on race morning.

* Indicates required field

Name *

First

Last

Your Email Address *

Gender: *

Female Male

Age on Race Day (May 18, 2013) *

Choose Your Event: *

3.1 Mile Run/Walk- 9:00 a.m. 1/2 Kids Fun Run- 8:45 a.m. (Free- no $5 fee!)

Emergency Contact Name: *

Emergency Contact Number: *

I know that running or walking a road race, regardless of distance, is a potentially dangerous activity. I should not enter and participate unless I am medically able and properly trained. I agree to abide by any decision by a race official relative to my ability to safely complete this event and I further agree that race officials may authorize necessary emergency treatment for me. I also understand that vehicle traffic will be present along the course and I assume the risk of running under such conditions. I further assume any and all other risks associated in participating in the Farmers Market Run/Walk events including, but not limited to illness, traveling to and from the event, falls, contact with spectators, other participants, objects on or near the course path, the effects of weather (including temperature extremes and humidity) and the surface conditions of the roads, all such risks known and appreciated by me. Having read this waiver and knowing these facts, and in consideration of the acceptance of my entry, I hereby for myself, my heirs, my executors, administrators or anyone else who might claim on my behalf, covenant not to sue, and waive, release and discharge the race director, Columbus County Farmers Market, race officials, volunteers and any and all other individuals or organizations in any way assisting or connected with this event from any and all legal claims or liability of any kind or nature whatsoever arising out of my participation in this event, even though that liability may arise out of negligence or carelessness on the part of the persons or parties named in this waiver. *

I have read and agree to the above waiver.

Would you like to order a t-shirt? (Remember registration fee with no t-shirt is $5, with t-shirt is $15. To guarantee your correct t-shirt size, please mail in fee instead of paying race morning.) *

City, State *

How did you find out how about the race? *

If you are a coach or Running Buddy for a "Girls on the Run" or "Girls on Track" participant, please type that student's name and school below. (Your $5 fee will be waived. Only one Running Buddy per student.) *

Submit

Register Today! Online registration will be open until Thursday, May 16th.Registration Fee with No T-Shirt: $5Registration Fee with T-Shirt: $15You can mail your fee and/or t-shirt payment to the Columbus County Farmers Market at P.O. Box 888, Whiteville, NC 28472or turn it in on race morning.

Register Today! Online registration will be open until Thursday, May 16th.
Registration Fee with No T-Shirt: $5
Registration Fee with T-Shirt: $15

You can mail your fee and/or t-shirt payment to the
Columbus County Farmers Market at P.O. Box 888, Whiteville, NC 28472
or turn it in on race morning.