GCBA 5K RUN FOR THE BAR

4th Annual Run & Walk - Friday, June 13, 2008
All Are Welcome!

To register for the GCBA 5K Run for the Bar complete the form below or click here for a printable form.

Your Information

First Name:

Last Name:

Address 1:

City: State: Zip:

Phone:

Age:   Birthdate:

Email:

Sex:

My ChampionChip Number (if applicable):

I will use a chip provided by the race and will return it after the race. I understand that I will be assessed a $30 fee if I fail to return the chip.:

Are you an Attorney?:

5K Run or Walk?:

Shirts

Size:

Payment

Card Number: Input number with no spaces

CV2: Input the last three digits from the back of your card. For AMEX, the 4 digits after your card number.

Expiration: / (YYYY)

Billing Zip:

Please press the Submit Application button to send this information to the GCBA. We will contact you shortly to confirm the data and to obtaing your billing information.

By pressing 'Submit', you agree to the following Waiver:
In consideration of acceptance of my entry, I, myself, my executors, administrators, do hereby release and discharge the Genesee County Bar Association, Genesee County Bar Foundation, their members, the City of Flint, all sponsors, volunteers, supporters and spectators of the race for all claims of damages, injuries, demands, actions whatsoever in any manner arising from my participation in said event. I have been warned I must be in good health to participate in this event. Further, I hereby grant full permission to use my name and photograph for purposes of publicity and promotion, without payment of consideration. In filling out this form, I attest and verify that I have full knowledge of the risks involved in this event, understand my own liability, and do accept the restrictions.

To view Results from the 2007 Road Race please click here. (Link opens in a new window.)