Thank you for supporting the HWM Colour Me Purple 5K Fun Walk/Run

When: Sunday, March 22nd at 6:30am
Where: 7 Mile Public Beach
Cost: $30 per person (cash only)

Packet Pickup:
Location: Camana bay Base of Observation Tower
When: Friday, March 20th from 4-6pm and
Saturday March 21st from 9am-12pm

The 5K Route: Starts at 7 Mile Public Beach on West Bay Road with the turnaround after Buckingham Square before Lonestar on West Bay Rd, then back to 7 Mile Public Beach.

Registration Fee includes t-shirt (for the first 500 paid registrants), raffle entry and breakfast!
All proceeds to raise funds for the Family Resource Centre's Young Parents Services Programme

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your phone number?

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* 4. What is your email?

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* 5. What is your age?

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* 6. What is your sex?

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* 7. What is your shirt size?

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* 8. Emergency Contact Name

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* 9. Emergency Contact Phone Number

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* 10. By typing in my full name below in the box, I agree to the following waiver:
In consideration of this entry being allowed to participate in this event, I personally assume all risks in connection with this walk/run. I release the Family Resource Centre, Department of Counselling Services, the sponsors and their representatives and successors from any claim by me or my family, estate, heirs or assigns, for injury or damage which may occur to my participating in this event. I have signed the release freely and voluntarily and have a full understanding of its contents, having read it in full and acknowledging by my signature that I am bound by the provisions herein. I understand and intend that I will be legally bound by it. I also confirm that I am physically fit and qualified to participate in this race and am at least 18 years of age or have had this signed by my guardian if I have not reached age 18.

FULL NAME BELOW

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* 11. What is today's date?

Date

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* 12. If Company Sponsored (paying for your entry fee), please type name of company.

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* 13. If paying entry fee individually, please indicate type of payment (unfortunately we cannot accept credit or debit cards). You can register and pay with Credit or Debit card on Cayman Active site.

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