5K Registration

Join us for our Annual Star Lit Blades 5K Fun Run and Walk! All proceeds will benefit the Star Lit Blades Synchronized Skating Teams. All participants must sign a waivers, but one registration form may be used for all entrants. Waivers can be acknowledged and signed online or may be turned in at the event.

Where: Wheeler Farm - SW Pavilion
6351 S 900 E
Murray, UT 84121
Date/Time: Saturday, March 26
Registration at 7:30 am
Race at 8:00 am
Race ends at 10:00 am
Cost: $20 per person
Prizes: Top 3 finishers, 1 raffle, and 1 prize goes to the skater with the most entries
Registration: All forms, waivers, and payments are due online or in person by March 26. If you want a 5K shirt, we need registrations and payments by March 5.

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Skater you are registering for *

Participant #1 Name *

Participant #1 Shirt Size *

Participant #2 Name *

Participant #2 Shirt Size *

Participant #3 Name *

Participant #3 Shirt Size *

Participant #4 Name *

Participant #4 Shirt Size *

Participant #5 Name *

Participant #5 Shirt Size *

Participant #6 Name *

Participant #6 Shirt Size *

Participant #7 Name *

Participant #7 Shirt Size *

Participant #8 Name *

Participant #8 Shirt Size *

Participant #9 Name *

Participant #9 Shirt Size *

How would you like to pay? *Checks should be made to "Star Lit Blades" *

Paid in person to Star Lit Coaches during regular practices Venmo - @EllieNielsen17

Any comments, questions, or concerns? *

ACKNOWLEDGEMENT THAT I HAVE READ THIS RELEASE AND AM SIGNING IT FREELY. MUST BE SIGNED BY A PARENT OR GUARDIAN IF UNDER 18 YEARS OF AGE. PLEASE LIST FULL NAMES OF EVERYONE YOU ARE SIGNING ON BEHALF OF (UNDER 18, AND YOURSELF) *

Submit

Please read and sign the Release Form. Participants must agree to and sign their names in the comments section above, or they can print and turn in this form in person by March 26th.

5k_fun_run_release.pdf
File Size:	558 kb
File Type:	pdf

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