Sandblazer 5K Run

Sandblazer 5K Run Entry Form

Thank you for your interest in our run!

Pre-Registration for the 2006 Sandblazer 5K Road Race and 1 mile Family Fun Run is now closed.

You may register on-site Friday night (August 4th)
at Helmrich Park(South West corner of 71st and Riverside) starting at 5 pm.

On-site registration on-site is $23.00.

5K Run starts at 7:00 pm.

1 Mile Family Fun Run starts at 7:05 pm.

Thank you again for you interest and we'll see you there!

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 







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Please note that online RSVPs are no longer being taken on this form.  Submissions from this form will no longer count as run reservations.  Please refer to the instructions above to make an on-site reservation to participate in the 5K run.

Please feel free to submit any questions to our Contact Us form.

 

 

 

 

 

 

 

 

 






 

Required field(s) are indicated by an *.

(Please note that each team member must register seperately.)


* Date of Birth / / (MM/DD/YYYY)





(Please note that teams are comprized of 3 to 5 runners.)




. . . . . ......
Please make checks payable to:
..... Tulsa Area United Way

Please be assured that all information transmitted through
this form is protected by 128 bit SSL encryption.

. . . . . . . . . . . . (No spaces or dashes please.)
Three digit number on back of card.


NOTICE: THIS ENTRY FORM AND RELEASE FORM IS A CONTRACT WITH LEGAL CONSEQUENCES. PLEASE READ IT CAREFULLY. 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. I also know that although police protection will be provided, there will be a possibility of traffic on the route. I assume the risk of running in traffic. I also assume any and all other risks associated with running in this event including, but not limited to, falls, contact with other participants, the effects of weather, including high heat and/or humidity, and the conditions of the roads, all such risks being known and appreciated by me. Furthermore, I agree to yield to all emergency vehicles. I also am fully aware that baby strollers, baby joggers, pushed wheelchairs and wheels of any kind (except competitive wheelchairs in a separate race), animals and headphones are strictly prohibited and I agree not to have them on the course. Knowing these facts, and in consideration of your accepting my entry, I hereby for myself, my heirs, executors, administrators or anyone else who might claim on my behalf, covenant not to sue, and waive and release and discharge USATF/Oklahoma/LDR, Tulsa Police Department, Tulsa Auxiliary Police, Glenís Road Race Service, race officials, volunteers and any and all sponsors including, but not limited to the Tulsa Area United Way including any and all of their agents, employees, assigns or anyone acting for or on their behalf from any and all claims or liability for death, personal injury or property damage of any kind or nature whatsoever arising out of, or in the course of, my participating in this event. This release and wavier extends to all claims of every kind or nature whatsoever, foreseen or unforeseen, known and unknown. This further grants full permission to sponsors and/or agents authorized by them to use any photographs, videotapes, motion pictures, recordings or any other record of this event for any purpose. Applications for minors will be accepted only with a parent or guardianís signature.
* Waiver Acknowledgement


(For Administrative use only.)

TULSA AREA UNITED WAY   |   1430 S. BOULDER, TULSA, OK 74119   |   918.583.7171   | TAUW@TAUW.ORG 
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