Event 03/13/2021 @ 8:30am Band on the Run 10K, 5K, 1 Mile Run Clinton, NC Toggle navigation Register Register Overview Overview Location Participants Past Results Am I already registered? SIGN IN Band on the Run Registration Form The form is loading. Form is loading... Categories* MI - Mile - $30.00 5K - 5K (official results) - $35.00 WA - 5K with no official time - $35.00 10 - 10K (official results) - $40.00 WA - 10K with no official results - $40.00 Participant Information Email * Participant First Name * Participant Last Name * Participant Birthdate * - month - Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec - day - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 - year - 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 Participant Gender * Male Female Country Address * United States Canada Mexico International Street Address * City * State * -- select state -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Col. 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 Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virgin Islands Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code * Phone * Would you like to receive important event text alerts on this number (eg. changes or delays)? Emergency Contact Name * Emergency Phone * Fundraising Team * new fundraising team - select a fundraising team - I am not on a fundraising team T-Shirt Size * -- select one -- AS AM AL AXL 2XL 3XL Shirts are guaranteed to all entered by March .2 Make a Donation Clinton High School Band Donation $ Waiver WAIVER: I know that running a road race is a potentially hazardous activity. I should not enter and run unless I am medically able and properly trained. I agree to abide by any decisions 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 the weather, including high heat and/or humidity, traffic and the conditions of the road or trail, all such risks being known and appreciated by me. Having read this 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 Town of Clinton, Clinton High School, Clinton City Schools, Young & Associates, the Race Director, the Race Committee, the USA Track Field, and all volunteers, all sponsors, their representatives and successors from all claims or liabilities of any kind raising out of my participation in this event even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I also agree to be contacted by the organizers or sponsors via e-mails as long as I am afforded the opportunity to opt out of future mailings. I grant permission to all of foregoing to use any photographs, motion pictures, recordings or any other record of this event for any legitimate purpose. I understand that bicycles, skateboards, roller skates or blades, animals and radio headsets are not allowed in the race, and I will abide by these guidelines. If, for reasons out of our control (i.e. an ice storm or such), we are unable to hold the event on the scheduled day, the race will be cancelled and not rescheduled. However, we will make all t-shirts available to those that registered. We will make every effort to run the race as long as it is safe to do so. Read through the agreement I have read and agreed to the waiver * Is the participant 18 or older? * 18 or older Under 18 Parent or Legal Guardian’s Signature - By providing your electronic signature you agree that you have the authority to register these participants and agree to the waiver(s) for them as their parent or legal guardian. If registering a child under 18, you are consenting to the collection of the child's information that you are providing for the purposes of registration. Parent's signature Payment Details Discount, Tracking, or Charity Code Apply Price $ Discount (-) $ Donation $ Totalno handling $ Handling $ Total $ Payment Method The payment and credit card section is not visible because there is nothing owed or form fields have not been fully completed. Visa/Mastercard Cardholder First Name Cardholder Last Name Cardholder Address Cardholder Country United States Argentina Australia Brazil Bermuda Canada Columbia Costa Rica France Germany Japan Ireland Italy Mexico Netherlands Norway Puerto Rico Singapore Spain Sweden Trinidad and Tobago United Kingdom City, State, Zipcode AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VI VT VA WA WV WI WY Credit Card # Exp. Date MM 01 02 03 04 05 06 07 08 09 10 11 12 / YY 19 20 21 22 23 24 25 26 27 28 29 CVV Code Your payment is encrypted and 100% secure. Payable To: Address: click the "pay now" button to submit your order then send a check (or pay in person) at the address above. 1. Venmo the total amount to the Phone #: 2. Make sure you enter the code, 41274 in "What's it for". 3. Click the "pay now" button. 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