Register for Linda’s Closet 5K Run/Walk To register as a family, please complete a form for each participant. Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneEmail* Age (on Race Day)Gender Female Male Register for* Runner Walker T-Shirt Size*Pre-Register to receive a complimentary T-shirt! Small Medium Large Extra Large Group or Individual* $15 Individual Participant $15 Corporate Challenge Participant $10 Family Participant Company Name*The Corporate Challenge. Teams consisting of at least six participants (can be a combination of walkers and runners) from the same place of employment are eligible to win a special prize!Agree to Release/Waiver*I know that running and road racing are potentially hazardous activities. I certify that I am physically able to participate in the Linda’s Closet 5K Walk/Run on Sept. 21, 2019. I assume all risks associated with participation in this event. In consideration of your accepting my application, I myself, and anyone entitled to act on my behalf, waive and release all race organizers, the Nelson School, all municipalities, all volunteers, all sponsors, their representatives and successors from all claims or liabilities arising out of my participation in this event. I also grant permission for the use of my name, address, and/or picture in any broadcast, photograph, or other account of this event. Yes, I agree No, I don't agree