Go, PDC, Go!

 October 10, 2010  ( 10-10-10 !! )

5k Race and Fun Run Online Registration

    Fill out form and hit submit button for each participant.  For those registering multiple runners or family groups please keep track of the total and pay online, by personal check or call PDC with credit card information.  Make checks payable to: “PDC” You may also download and fill out a hardcopy of the registration form and bring it to the race. (go back to previous page for link to printable registration form.)  

First Name     Last Name

 Address (1)     

Address (2)     

            City           State        Zipcode

         Phone          email

 Competitor Age Bracket 21 or older 6 to 20 years old  Gender Male Female  

 By submitting this form you agree to the following:

   I release all of the sponsors and organizers of  this race from all liability should I suffer any harm from participation in this race.  I am physically fit and have prepared for the race and understand the risks involved. I also understand that the race may be cancelled if unsafe conditions exist at race time and no refunds will be made. Also I grant my permission for the committee to use or authorize others to use photographs, or other recordings of my participation