Register to Participate in the 10K/5K Run & Walk!

5K RunnersRegistration Fee
(Pre-registered by MARCH 4, 2019)

  • 10K Run Registration: $30 per person
  • 5K Run or Walk: $25 per person
  • 1-Mile Fun Run: $10 per person
T-shirt is guaranteed to pre-registrants,
both children and adults

Proceeds are used to benefit all client programs including behavioral health, supportive living, and developmental services to individuals residing in the Southern 7 counties of Illinois.


Rain or Shine — Sorry NO Refunds!

10K/5K REGISTRATION FORM

    Note: After completing the form and clicking the "Submit" button, you will be taken to PayPal to complete your payment transaction.
  • Waiver: I have signed this entry form intending to be legally bound, hereby to myself, my heirs, executors, and administrators and release any and all rights and claims for damages I might have against the organizers of this race and officials and other sponsors of this event and their representatives for any and all injuries suffered by me in the event. I attest that I am physically fit and have sufficiently trained for the event and a licensed medical doctor has verified my physical condition. Furthermore, I hereby grant full permission to any and all of the foregoing to use my photograph or any other record of this event for any legitimate purpose. This entry is invalid unless signed by the entrant. If entrant is under 18 years of age then entry must be signed by a parent or guardian. The official race director reserves the right to reject any entry.
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY