Delaware Ovarian Cancer Foundation - Teal Ribbon 5KOnline Registration Form

*First Name:

*Last Name:

*Email:

*Phone:

*Phone type:

Mobile phone Landline phone

Contact Preference:

*Address Line 1:

Address Line 2:

*City:

*State:

*ZIP/Postal Code:

*Select Male/Female

Male Female

*Select Runner or a Walker

Runner Walker

*Age:

*Participant type:

Individual participant Team participant

Team Name (if team participant):

How did you hear about this event?

Join E-Mailing List?

Please add me to your e-mailing list.

*Registration Fees: (Children under 5 are free but no T-shirt)

General $25 pre-reg ($30 day-of) Student $20 pre-reg ($25 day-of)

Release Form:

By typing in my full name (name of legal guardian if participant is under 18) below, I, for myself, my heirs, executors, and administrator, waive and release any and all rights and claims for losses and damages I (or the participant) may have against the Delaware Ovarian Cancer Foundation, the City of New Castle, Battery Park Trustees, St. Peter the Apostle Parish School, race directors, volunteers and sponsors for any and all injuries suffered by me (or my child) in said event. I attest that I (or the above named participant) am sufficiently physically fit and have no medical condition that prevents me from safely participating herein. Further, I hereby grant my permission to any and all forgoing to use photographs, videotapes, motion pictures, recordings or any other record of this event for any purpose whatsoever.

Please make checks payable to 'DOCF' and mail to:

Teal Ribbon 5K

701 Sweetleaf Drive

Wilmington, DE 19808

Submit Your Registration: