Monster Dash Registration

User Registration

Primary Contact - add participants below

Primary First Name *

First

Last Name *

Last

User ID *

Only lower case letters (a-z) and numbers (0-9) are allowed.

Email Address *

Enter Email

Confirm Email Address *

Confirm Email

Password *

Enter Password

Confirm Password *

Confirm Password

5K Run/Walk - $25 registration fee

5K First Name *

First

Last Name *

Last

Phone

Date of Birth

Age on race day

Young Runner

I am under 12 years-old

I will accompany a Young Runner

Adult accompanying me

I will accompany this Young Runner

Emergency Contact Name

Emergency Phone Number

T-shirt Size-Adult

Event

5K Run/Walk Registration Fee: $25.00

Waiver

By checking this box, I acknowledge the event waiver.

Disability

I am disabled and require special accommodations. Please contact me.

Electronic Signature

Clear

Add Remove

2K Fun Run – $20 registration fee

2K First Name *

First

Last Name *

Last

Phone

Date of Birth

Age on race day

Young Runner

I am under 12 years-old

Adult: I will accompany a Young Runner

Adult accompanying me

Emergency Contact Name

Emergency Phone Number

T-shirt Size - Youth

Event

• 2K Fun Run Registration Fee: $20.00

Waiver

By checking this box, I acknowledge the event waiver.

Disability

I am disabled and require special accommodations. Please contact me.

Electronic Signature

Clear

Add Remove

2K Discount: When you register more than 2 2K runs, any additional 2K fees will be billed at 50% off.

Final Total

Payment

If you are human, leave this field blank.