* 1. Name

* 2. Gender

* 3. Address

* 4. Email

* 5. Age

* 6. If you would like to pre-order a t-shirt, please indicate the size needed.

* 7. Upon completion of this online registration, I hereby waive and release Southeastern Community College or any individuals or organizations who assist or support the ECO-Color Run/Walk from any liability from illness or injuries I, or my child/children, may suffer as a direct or indirect result of my participation. I further state that I, or my child/children, am in proper physical condition to participate in this event and I understand that running a race is a potentially hazardous activity. I consent for me or my child/children to be treated by licensed medical personnel if an emergency occurs, although Southeastern Community College will have no liability for payment of any costs of such treatment. I understand and agree that the decision of the officials is final. Ages 12 and under must be accompanied by a parent or legal guardian.