Click Below For Forms in PDF

Individual Registration

Team Registration

Pledge Form

 

* Sponsor form and all pre-paid pledges must be submitted by Wednesday, March 24 to Chicano Student Programs

Online Registration Closes Today Wednesday 3/31/2010 --- 3:00 p.m. 

Online Registration Form

Individual Registration
First Name * Last Name*
Address *
City * State*Zip*
Telephone *
Email: *
5K Run   Female Male
5K Walk   Female Male
1K Kid's Run (12 and under)   Female Male
5K Participants Only (Indicate age division) * Child (12 and under)
Youth (13-18)
Adult (19-29)
Maestro (30-49)
Veterano (50+)
T-Shirt Size  
 
Team Registration
Team Name  
Team Information
Please Include:
- Name
- Age
- Gender
- T-Shirt Size
  
Registration Fees:   Individual Run/Walk: $20
Kid's Run: $10
Team: $75
I will commit to soliciting pledges.
The Team will commit to soliciting pledges.
* Registration fees will be waived for individuals with $40 or more in
pledges and teams with $150 or more in pledges.
** All participants are required to sign a Waiver of Liability, Assumption
of Risk, and Indemnity Agreement. This will be available the day of the event.
Security Code * CAPTCHA