Ransom 5K/10K Run/Walk Home Ransom 5K/10K Run/Walk Click here for event flyer! Ransom Run/Walk Today's Date How did you hear about our 5K/10K? * www.ransom.org Family/Friend Facebook Radio Email Participant from Previous Year 5K/10K Website Search Other Race Packet Other Applicant First Name * Last Name * Address City Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Phone * Email Address Gender * Male Female Age * Distance * 5K - $15 Shirt Only - $15 Distance * 5K - $25 10K - $35 Shirt Only - $25 5K T-Shirt * Select Cotton T-shirt Dri-Fit T-shirt ($5 extra) 5K T-Shirt * Select Cotton T-shirt Dri-Fit T-shirt ($5 extra) 10K T-Shirt * Select Cotton T-shirt Dri-Fit T-shirt ($5 extra) 10K T-Shirt * Select Cotton T-shirt Dri-Fit T-shirt ($5 extra) T-Shirt Only * Select Cotton T-shirt Dri-Fit T-shirt ($5 extra) T-Shirt Only * Select Cotton T-shirt Dri-Fit T-shirt ($5 extra) Shirt Size * Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult XL Adult XXL (additional $2) Adult XXXL (additional $3) Would you like to be timed to be eligible for medals? * Yes (Chip Timing $5.00) No Shirt only (I don't plan to be at event but would like to support RMHCA ) Add Participant Remove Total Amount Due Waiver Liability * I Agree I know that running/walking a road and off-road event is a potentially hazardous activity. I should not run/walk unless I am medically able and properly trained. I agree to abide by any decision of the race officials. I assume all risks associated with running/walking in this event, including, but not limited to: falls, contact with other participants, effects of the weather, traffic, and conditions of the road and trail. Having read this waiver and knowing these facts, and in consideration of acceptance of my entry, I waive and release the Run/Walk for Ransom, all sponsors and representatives from all claims and liabilities of any kind arising from my participation in this event, even though such liability arises from negligence or carelessness on the part of persons name in this waiver. I grant permission to all foregoing to use any photographs, motion pictures, recordings (race times) or any other record of this event for any legitimate purpose. By checking "I AGREE", I am providing my electronic signature for the above waiver on behalf of myself and/or all participants listed on this registration form.