Runners First Name
Runners Last Name
Runners Sex M/F
Runners Age
Please Pick Distance
Please enter Runners t-shirt size and choice of T-Shirt or tank top
Runners Home Address
City
State
Phone Number
E-mail Address
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
Virtual Fun Run
Saturday, June 6, 2020
Fee: $25.00 plus $1.50 PayPal fee
You are able to register on-line until 9:00 am on 6/06/2020 for $25.00 plus the PayPal fee.  This is a virtual run which can be ran on any day, any time, or any surface between now and 9:00 am on 6/6/20.  To be eligible for a medal, take a screen shot of your run on any of the free aps available on your smartphone which will show the distance and time of your run.  You can also take a picture of your treadmill.  Send your screen shot or your photo to haltfunrun@gmail.com up until 9:00 am on 6/6/20.  Winners will be announced at 10:00 am on 6/6/20 on our Facebook, Instagram and website.  Email haltfunrun@gmail.com with any questions about this event.  All participants, whether you run, walk or just donate, will receive a t-shirt and a goody bag full of give-away items.  We will make arrangements after the run to get you your shirt, bag and medal.
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