5K Individual Registration Name* First Last Phone*Email* Age* Gender*Select OneMaleFemaleT-Shirt Size*Select OneAdult SmallAdult MediumAdult LargeAdult XLAdult XXLIndividual Registration*Select OneBefore April 17After April 17$35 on-line before April 23rd. After April 23rd, $45.00Total $0.00 Credit CardCard Details Cardholder Name Address of Card Holder* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Texas ZIP Code Signature - Type your name and "I agree" -If under 18, parent/guardian signature* *By signing this registration form, I acknowledge the following: I know running a road race is a potentially hazardous activity and I should not enter and run unless I am medically able and properly trained. I assume all risks associate with running in this event. Having read this waiver, knowing these facts and in consideration of accepting my entry, I and anyone entitled to act on my behalf, waive and release Open Door Recovery House, the City of Marble Falls, all race volunteers, all sponsors and vendors, their representatives, employees and successors from any claims and liabilities of any kind arising out of my participation in this event or carelessness of the persons named in the waiver. Further, I grant to all of the foregoing the right to use any photographs, recordings or any other record of this event for legitimate purposes. I also understand my registration fee is non-refundable. If you are unable to attend the race you may transfer your registration to another person. Your donation is tax-deductible as outlined in Section 501(c)(3) of the IRS Code of 1986. For more information call 830-693-9292 or visit www.opendoorrecovery.net.