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Attention... registration for this event closed on Friday October 11th, 2013 - Noon (USCT).
Race Information
Race Name:Barnabas House Monster Dash 5K
Location:Little Rock
State:Arkansas, United States
Posted:July 23rd, 2013 8:08 am
Last Update:October 11th, 2013 12:00 pm
 
Race: Logo
Event Information
Name of Event:Barnabas House Family Registration
Distance:5.00
Measurement:Kilometers
Date:Saturday October 12th, 2013
Start Time:8:00 am
Special Instructions:
This section is intended for family registration into our Barnabas House Monster Dash 5K. Each "family" may include up to 8 (eight) immediate family members with no more than 2 (two) adults over the age of 21. Please enter detailed information for your head of family, the number of additional family member(s), and information for each additional member. Note: an additional fee of $10.00 will be calculated and applied for each family member.
Event Registration Schedule
Currently runner registration is not available through the website of RunRace for this event. Click the Race Detail tab above and check with the specific race website for more information.
 
This race features 2 events. Please checkmark to verify your registration intentions for:
Barnabas House Family Registration 5 Kilometers 8 Member Team
To choose a different registration, click its name below:
Barnabas House Monster Dash 5K • 5 Kilometers
Step 1 of 2 - Family Registration
Head of Family's First Name
 
Last Name
Address 1
Address 2
City
State / Province

Use 2 digit code for US and Canada
otherwise, leave blank.
  
Country, if outside of the U.S. and Canada

Leave blank if address is in US or  Canada.
Zip / Postal Code
Home Phone

Required... please provide your home number.
Other Phone

Optional... provide an alternate phone number.
Head of Family's Email Address

Your active Email Address... please check for accuracy.
Head of Family's Date of Birth

Format: YYYY-MM-DD
Sex

M for Male, F for Female.
Apparel Description
We're pleased to offer gray unisex t-shirts to pre-registered participants. Register before October 5th to be guaranteed a shirt.
Shirt Selection

Student Selection

Optional... a registration discount may be calculated for students. Students must provide their ID at participant check-in. If applicable please select your qualification, otherwise leave blank.
Emergency Contact

Required... please provide a contact name and phone number of someone who is not running in the race as information which we may use in the unlikely event of an emergency.


Total Number of Participants for Your Family (2 minimum to 8 maximum)

Please calculate and enter the total number of participants for your family... You plus the number of your family members.
Example... Let's say your family is made up of you, your spouse, and two children.
You + Spouse + 2 = 4

Waiver
For and in consideration of the acceptance of my registration to participate in the Barnabas House Monster Dash 5K Race/Walk scheduled for Saturday, October 12, 2013, I hereby waive, release and discharge in advance Oak Forest Methodist Church, UALR, their members, sponsors, officers and all persons acting in concert with them from any an all claims which may hereafter accrue to me or my heirs or to any other person(s) as a result of my participation in this event. I represent that I am in good physical condition and that I have sufficient skill and experience to safely complete any competition, which I choose to participate in. I also understand that my entry fee is nonrefundable.
 Agree to waiver by checking here.
By agreeing to this waiver you submit to the terms and conditions as set forth by this event and certify that you have provided true and accurate information as requested through this registration process.
Additional
Member
First NameLast NameRace Day
Age
SexEmail AddressSelection
1:
2:
3:
4:
5:
6:
7:

Currently registration status is in Closed status. Please check with the race director for further information related to registration for this event.
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