ABOUT US OUR PROGRAMS EVENTS HOW TO HELP RECOGNITION CONTACT US


1) PRINT OUT THE REGISTRATION AND MAIL IT
If you wish to register by postal mail, please click HERE to download and print our registration form using Adobe Reader. After you fill it out, please mail it to the address shown on the registration.
2) FILL OUT THE ONLINE FORM BELOW
If you wish to register online, simply fill out the entire form below and submit it. You will then be redirected to our PayPal Donation Site where you will donate the same amount you selected on the registration form. If you do not submit the donation after the registration, your registration will be canceled. It is not necessary to have or create a PayPal account to do this. The fields indicated with a red star are required to submit registration.

First *
Last *
Address *
City *
State *
Zip Code *
Phone *
- -
Email *
Gender *
 Male 
 Female 
Age *
Registration Fee *
 $30.00 before November 17th 
 $20.00 for Children 12 & Under 
 $25.00 for Manasota Track Club Members 
 $35.00 after November 17th for EVERYONE 
 Unable to Attend 
Additional Donation
$ .
Registration Total *
$ .
T-shirt Size *
 Small 
 Medium 
 Large 
 X-Large 
 XX-Large 
 Unable to Attend 
Waiver: I know that running a road, beach or trail race is a potentially hazardous activity. I should not enter unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with running in this event including, but not limited to, falls, contact with other participants, the effects of weather, including high heat and/or humidity, traffic and conditions of the road all such risks being know and appreciated by me. By signing this form, I agree that for safety reasons, strollers, baby joggers, bicycles, skates, and animals are not permitted in this event. Having read the waiver and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release the Manasota Track Club, Inc., its officers, directors and agents, all sponsors, their representatives and successors, including the Road Runners Club of America, its officers, directors, agents and employees, and Community Haven for Adults and Children with Disabilities, Inc. and their Board of Directors from all claims and liabilities of any kind arising from my participation in this event, although that liability may arise out of negligence or carelessness on the part of the person named on this waiver.
Signature *
AFTER YOU SUBMIT REGISTRATION. YOU WILL BE REDIRECTED TO PAYPAL. PLEASE COMPLETE THE DONATION FORM USING THE SAME DONATION AMOUNT YOU CHOOSE ON THIS REGISTRATION.

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