Resurrection Run 2020 Registration

Resurrection Run 2020 Registration

April 11, 2020, Goehner, NE
I will be participating in the...

1 Mile FUN Run ($20 per runner)5K ($30 per runner)
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Emergency Contact Name
Emergency Contact Phone
Please verify you've read waiver:

I understand that any physical activity comes with some degree of risk. I assume all risks associated with running in this event. I do not hold Holy Cross Lutheran Church or its members liable for any injury sustained on race day. My registration confirms that I am medically able to perform in this event and will abide by race rules.
T-shirt Size (Guaranteed with paid registration before March 30th.)

Youth SmallYouth MediumYouth LargeYouth XLAdult SmallAdult MediumAdult LargeAdult XLAdult XXL
Time of events:
7:00 am - Packet Pick-up

8:00 am - Races Begin
Registration can be paid by check made out to "Holy Cross Lutheran Church," and mailed to: Resurrection Run, c/o Kelly Jarzynka, 1083 364th Rd, Seward, NE 68434

Or, through Paypal, Send to: hclchurch@windstream.net

(No refunds. We'll run, rain, snow, crazy wind, etc.)
Should be Empty: