2018 5K Run for Water and 2-Mile walk Registration Please note: Each individual participant must have their own signed entry form. Select participant Who are you registering for this event? Yourself, 18 or olderSomeone else, 18 or olderSomeone else, below 18 Participant Information First Name (required) Last Name (required) Gender (required) MaleFemale Date of Birth (required) Your Email (required) Day Phone (required) Ext Country (required) —USAAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Antarctic TerritoryBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCanton and Enderbury IslandsCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo – BrazzavilleCongo – KinshasaCook IslandsCosta RicaCroatiaCubaCyprusCzech RepublicCôte d’IvoireDenmarkDjiboutiDominicaDominican RepublicDronning Maud LandEast GermanyEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesFrench Southern and Antarctic TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong Kong SAR ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacau SAR ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMetropolitan FranceMexicoMicronesiaMidway IslandsMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNeutral ZoneNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth VietnamNorthern Mariana IslandsNorwayOmanPacific Islands Trust TerritoryPakistanPalauPalestinian TerritoriesPanamaPanama Canal ZonePapua New GuineaParaguayPeople's Democratic Republic of YemenPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaSão Tomé and PríncipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Minor Outlying IslandsU.S. Miscellaneous Pacific IslandsU.S. Virgin IslandsUgandaUkraineUnion of Soviet Socialist RepublicsUnited Arab EmiratesUnited KingdomUSAUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWake IslandWallis and FutunaWestern SaharaYemenZambiaZimbabwe Address (required) Address line 2 City (required) State (required) Zip (required) How did you hear about this event? (required) Select OneActive.comFacebookFamily / FriendInternet / WebsitePast ParticipantPrint MarketingOther Enter T-Shirt Size (required) Which event are you registering for? (required) Select One7:30 a.m. 5K Run8:00 a.m. 2-Mile Walk Please email me event updates Waivers and agreements Please read waivers and agreements here carefully. They include release of liability and waiver to legal rights, and deprive you of the ability to sue certain parties. By agreeing electronically, you acknowledge that you have both read and understood all text presented to you in the link above as part of this registration process. Check if you agree By entering my name below, I assert that I have reviewed and agree to all the waivers and agreements I have read above. Electronic Signature (required) Please read carefully: After you click Register Now below, you must pay via the PayPal link that will appear on the next page for your specific event in order for your registration to be finalized. If you register here without paying, you will be asked to pay at the event and we cannot guarantee you a t-shirt or a goodie bag.