Runners First Name
Runners Last Name
Runners Sex M/F
Runners Age
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Runners Home Address
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Phone Number
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Waiver: ALL ENTRANTS MUST AGREE TO WAIVER
In consideration of this entry acceptance, I hereby for myself, my heirs, executors, and administrators, waive all of my rights for damages I may have against the County of Kern, the City of Bakersfield, the Bakersfield Track Club, H.A.L.T. Rescue, the race sponsors or any individual associated with the above and for all injuries sustained by me in this event.  I attest and verify that I am physically fit and have sufficiently trained for this race.  I will additinally permit free use of my name, pictures, broadcasts and telecasts, etc.
If you are UNDER THE AGE OF 18 please provide the name of a parent or guardian which is giving your their permission to participate in this event and is agreeing to the above waiver
If you have any special needs or would like to provide any additional information, please add it here.  IF THE NAME ON THIS REGISTRATION FORM IS DIFFERENT THAN THE NAME ON THE PAYPAL ACCOUNT, PLEASE PROVIDE THE NAME OF THE PERSON ON THE PAYPAL ACCOUNT IN THE BOX BELOW.  This year we are accepting VENMO for payment.  If you are going to make a payment through VENMO please Type VENMO in this box!
When you press the submit button you will be re-directed to a purchase site for this event.  The cost of this run is $25.00 plus an additional fee of $1.50 to cover the PayPal service charge.  The total cost of the transaction will be $26.50 USD.  If you are making payment via VENMO just click on the submit button and your registration will be accepted.  Your registration will not be considered complete until payment has been received.
<<<<<<<---------------YOU MUST CHECK THIS BOX!
I am over 18 and agree to the above waiver or, I am under 18 and my parent or guardian agrees with the above waiver.
H.A.L.T. Rescue's
11th Annual 5k & 10k
Fun Run
Saturday, June 6, 2020
Yokuts Park
Bakersfield, CA
Run Starts at 7:00am
Fee: $25.00 plus 
$1.50 PayPal fee
Early On-line registration has started!  You are able to register on-line until 06/03/2020 at 5:00pm for $25.00 plus the PayPal fee.  You will be able to register at the park the morning of the run for $30.00.
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