Fort Hays State University

2019 Run Walk Registration Form

Please fill out the form below as the primary registrant. You may register additional attendees down below. When you submit, you will be taken to a payment page to complete your registration(s). Note: All registrations after October 4th will have a $5 late registration fee added. T-shirts are not guaranteed for those who register after October 4th.
This form will cease accepting registrations at 11:59 p.m. October 17th.
Note: Registrations are not refundable.

First Name:

Last Name:

FHSU ID:

Optional

I am participating in:

Age:

Address:

City:

State:

Postal Code:

Phone:

E-mail:

T-Shirt Size:

Optional:

I would like to donate an additional amount towards the cause.

Please note: if you donate $50 you are eligible for special incentives such as free registration and should complete a formal donation through the “sponsor” link. Sponsor Form

Additional Registrants

$15.00 for FHSU students, $20.00 for Adults, and $10.00 for Child (3-18)**
After October 4th, add $5 to each registration.

**Children under 3 are free but parents will have to sign a release on the day of the event.

First Name:	Last Name:	Type:	Email:	Shirt Size:

Cost of All Registrations:	$
Optional Donation:	$
Total Amount:	$

Communication Sciences and Disorders

Additional Registrants

$15.00 for FHSU students, $20.00 for Adults, and $10.00 for Child (3-18)** After October 4th, add $5 to each registration.

$15.00 for FHSU students, $20.00 for Adults, and $10.00 for Child (3-18)**
After October 4th, add $5 to each registration.