Register

Entry Fees:
Early Registration: $25 per person (until July 27th, 2012)
Race Day Registration: $30 per person
Family Registration (3+): $75 (includes 3 goodie bags)

To register by mail: Print, complete and mail this form.

Race Brochure 2012

To register online::

  1. Fill out one entry form per participant.
  2. The total amount in the donation box below, should include all registration fees and optional additional donations.
  3. After you complete the registration form, go to Online Payment link and click the DONATE button to make payment.

Online Registration

Please fill out the online form for each person who will be participating. The race fees and online payment is located under the ONLINE PAYMENT tab at the top of the page.

Required fields are marked with *

Date of Birth *

Choose Event
3k Walk 
5k Run 
Kid's Run 

First Name *

Last Name *

 

Address Street 1 *

Address Street 2

City *

State *

Zip Code *

 

Phone

Email *

Gender *

Family/Participants:

Donation:

 

By checking the box below, I have read and agree to the Waiver Release below: *
I Agree 

 

Please type the text you see below, then click Register:

captcha

Please read and understand the liability form below. We will ask that you sign the waiver form on the day of the race to ensure that you understand that Back To Wellness, LLC and The String of Pearls Foundation cannot be held responsible for any injuries sustained at the event.

 

Upon acceptance of my entry, I for myself, my heirs, executors and assigns, do hereby release the officials and volunteers of the Parker Family 5k and any and all sponsors, their representatives and successors and any individual or group associated with this event from all claims or liabilities of any kind arising out of my participation in this event even though that event may arise out of negligence or carelessness on the part of the persons named in this waiver. I grant permission to all the forgoing to use any photographs, motion pictures, recordings, verbal or written statements or any other record of this event for any legitimate purpose without limitation or further compensation. I know that running and participating in this event is potentially hazardous. I should not enter and run this event unless I am medically able and properly trained. I agree to abide by any decision of an official relative to my ability to safely complete this event. I assume all risk associated with running and training for this event including, but not limited to falls, contact with other participants, the effects of the weather, including the conditions of the roads and traffic on the course, all such risks being known and appreciated to me.