5K Waiver 5k Waiver To pre-register to run or walk in our 5k, please fill out the information below. NamesNames of Runners/Walkers*First NameLast NameAgeShirt Size (S/M/L/XL) Contact InfoAddress* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* In Case of EmergencyEmergency Contact Name* First Last Emergence Contact Phone*Terms & ConditionsTerms & Conditions* I Agree I agree that I participate on my own risk. I am physically able to start and end the course and I will stop at anytime during the course if I feel I cannot complete the course. I waive all liability from Damascus Home, Inc. and any party involved if something where to happen to me along the course, whether it be my own physical condition or any unforseen accident. By choosing "I Agree" below, I am answering this for all the names listed above. This iframe contains the logic required to handle AJAX powered Gravity Forms.