5K  Registration Packet

 

Date: Saturday, April 5th

Check-In Time: Begins at 7:30am

Start Time: 9am

Location: The University of Tulsa

                 Gary and 5th Place – road by 

                     Harwell Field

Distance of Course: 5K (3.1miles)

Parking:  Harwell Parking Lot

Directions: Take I-244 to Harvard Exit.  Head

                  South toward 11th Street.  Turn right at 5th   

                  Place. Gary is the first road on your left.

 

Pre-Registration Cost: $20

Race Day Registration Cost: $25

**check or cash only**

        **  Make all checks payable to ICAN5K **

 

All proceeds benefit Kendall Whittier, Inc. which is an organization that provides a food pantry, after-school programs, and community events in order to develop and maintain a healthy, safe community within the Kendall Whittier neighborhood.

 

T-shirts are included in the cost and will be available at check-in on race day.

 

Registration Instructions: Fill out the following page and turn into the Collins Fitness Center Front Desk at the University of Tulsa campus, or the following locations within Tulsa:

 

Fleet Feet

6022 S. Yale Ave.

 

New Balance

2030 Utica Square

 

Runners World

4329 S. Peoria

 

or go online at www.ican5k.com (register online link)

*note there is a $1.30 registration fee

 

 

*Questions?  E-mail ican5k@gmail.com

 

 


ICAN5K Registration Form:

 

 
 


                                                                               Race Use Only

Personal Info:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1) First

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2) Last

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3) Mailing Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4) City                                                                                State                                                                           Zip

 

 

 

 

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-

 

 

 

 

5) Cell or Home Phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6) Email Address

 

 

 

 

 

 

 

 

 

 

 

A

D

U

L

T

 

 

 

C

H

I

L

D

 

7) Sex (M/F)                                                          9) T-shirt Size (Adult S, M, L, XL, XXL) Child (S,M,L)

 

 

 

/

 

 

/

 

 

 

 

 

 

 

 8) Date of Birth                                               10) Age

 

Waiver Release:

I hereby agree to terms and conditions of this race to which I waive my right to hold the ICAN5K party organizers responsible for any injuries that may occur before, during, or after the race including injuries induced by contact with other runners and weather.

 

Signature__________________________________________                             Date______________________

 

Parent Signature (if under 18) ___________________________________________________________

 

Payment:

Registration Fee - $20 ($25 on race day)

Cash or Check ONLY

All checks payable to ICAN5K