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Donut 5k Dash Registration Form
If you are signing up a student or a student in the Yelm School District please use coupon code
YSDSTUDENT26
for free registration. Only one coupon code per transaction so if you have multiple students, please fill out multiple forms. Thank you!
Students that use coupon code for free registration must purchase a shirt in the additional shirt portion at the end of the form if they want a shirt.
A shirt is included with each registration fee. Additional shirts can be purchased.
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
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Step
1
of 4
Primary Runner Information
Name
*
First
Last
Address
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Email
*
Phone
*
Birthdate
*
Gender
--- Select Choice ---
Female
Male
Your Shirt Size
*
--- Select Choice ---
S
M
L
XL
XXL
How Many Total Runner/Walkers?
*
--- Select Choice ---
1 - $30.00
2 - $60.00
3 - $90.00
4 - $120.00
5 - $150.00
Next
Runner/Walker #2
Name of 2nd Runner/Walker
*
First
Last
Email of 2nd Runner/Walker
*
Birthdate of 2nd Runner/Walker
*
Gender of 2nd Runner/Walker
--- Select Choice ---
Female
Male
Is Runner/Walker #2 under 18?
*
Yes
No
Shirt Size Runner/Walker #2
*
--- Select Choice ---
S
M
L
XL
XXL
Runner/Walker #3
Name of 3rd Runner/Walker
*
First
Last
Email of 3rd Runner/Walker
*
Birthdate of 3rd Runner/Walker
*
Gender of 3rd Runner/Walker
--- Select Choice ---
Female
Male
Is Runner/Walker #3 under 18?
*
Yes
No
Shirt Size Runner/Walker #3
*
--- Select Choice ---
S
M
L
XL
XXL
Runner/Walker #4
Name of 4th Runner/Walker
*
First
Last
Email of 4th Runner/Walker
*
Birthdate of 4th Runner/Walker
*
Gender of 4th Runner/Walker
--- Select Choice ---
Female
Male
Is Runner/Walker #4 under 18?
*
Yes
No
Shirt Size Runner/Walker #4
*
--- Select Choice ---
S
M
L
XL
XXL
Runner/Walker #5
Name of 5th Runner/Walker
*
First
Last
Email of 5th Runner/Walker
*
Birthdate of 5th Runner/Walker
*
Gender of 5th Runner/Walker
--- Select Choice ---
Female
Male
Is Runner/Walker #5 under 18?
*
Yes
No
Shirt Size Runner/Walker #5
*
--- Select Choice ---
S
M
L
XL
XXL
How many additional T-shirts would you like to order?
*
--- Select Choice ---
0 - $0.00
1 - $15.00
2 - $30.00
3 - $45.00
4 - $60.00
5 - $75.00
Additional Shirt Size #1
Small
Medium
Large
XL
2XL
Additional Shirt Size #2
*
--- Select Choice ---
Small
Medium
Large
XL
2XL
Additional Shirt Size #3
*
Small
Medium
Large
XL
2XL
Additional Shirt Size #4
*
Small
Medium
Large
XL
2XL
Additional Shirt Size #5
*
Small
Medium
Large
XL
2XL
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Next
would Email #2
Emergency Contact
Name of Emergency Contact
*
First
Last
Phone Number of Emergency Contact
*
Are you affiliated with any school organization?
Yes
No
What is the school organization?
Participation means any photos of you and/or your party may be used in future marketing.
*
I understand.
Waiver & Release of Liability
*
I understand.
By registering for and participating in the Nisqually Valley Spring Expo Donut Dash 5K (the "Event"), I acknowledge and agree to the following.
If I am registering a minor (under 18 years of age), I confirm that I am the parent or legal guardian of that minor and am signing this waiver on their behalf. All references to "I" and "my" in this document shall also apply to the minor participant(s) I am registering.
I understand that participation in a 5K run/walk event involves inherent risks, including but not limited to falls, contact with other participants, effects of weather (including heat, cold, or precipitation), traffic conditions, and the condition of the course. I acknowledge that these risks may result in serious injury, illness, permanent disability, or death.
I certify that I am physically fit and sufficiently trained to participate in this Event and have not been advised otherwise by a qualified medical professional.
If registering a minor, I certify that the minor is physically fit and sufficiently trained to participate and has not been advised otherwise by a qualified medical professional.
In consideration of being permitted to participate in the Event, I, on behalf of myself,
any minor participant(s) I am registering,
my heirs, executors, administrators, assigns, and personal representatives, hereby release, waive, discharge, and covenant not to sue the Yelm Chamber of Commerce, Nisqually Valley Spring Expo, event sponsors, volunteers, organizers, the City of Yelm, property owners, and any other affiliated entities, along with their respective officers, directors, employees, agents, and representatives (collectively, the "Released Parties"), from any and all liability, claims, demands, losses, or damages arising out of or related to my or my minor participant's participation in the Event, including any injury, disability, death, or loss or damage to person or property, whether caused by negligence or otherwise, to the fullest extent permitted by law.
I grant permission to the event organizers to use photographs, video recordings, or other media of me
and any minor participant(s) I am registering
taken during the Event for promotional, marketing, or other lawful purposes without compensation.
I understand that the Event may be canceled, delayed, or modified due to weather, safety concerns, or other circumstances beyond the control of the Yelm Chamber of Commerce, and that registration fees may be non-refundable.
I agree to comply with all Event rules, instructions, and safety guidelines provided by event staff and volunteers.
If registering a minor, I accept responsibility for ensuring that the minor also complies with all Event rules, instructions, and safety guidelines.
By signing below, I acknowledge that I have read and understand this waiver and voluntarily agree to its terms for myself and for any minor participant(s) I am registering.
*
Clear Signature
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Coupon
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Total Cost
Order Summary
Item
Quantity
Qty
Total
There are no products selected.
How Many Total Runner/Walkers? - 1
1
$30.00
How Many Total Runner/Walkers? - 2
1
$60.00
How Many Total Runner/Walkers? - 3
1
$90.00
How Many Total Runner/Walkers? - 4
1
$120.00
How Many Total Runner/Walkers? - 5
1
$150.00
How many additional T-shirts would you like to order? - Item 1
1
$0.00
How many additional T-shirts would you like to order? - 1
1
$15.00
How many additional T-shirts would you like to order? - 2
1
$30.00
How many additional T-shirts would you like to order? - 3
1
$45.00
How many additional T-shirts would you like to order? - 4
1
$60.00
How many additional T-shirts would you like to order? - 5
1
$75.00
Subtotal
Total
$30.00
$0.00
Stripe Credit Card
*
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