Participant Registration

Family Registration

Choose from one of the following options to continue registering:

I AM A NEW
PARTICIPANT

Participant First Name:*

Participant Last Name:*

Participant Email:*

Confirm Email:*

By registering as a participant and providing your email address, you are agreeing to receive important participant event updates via email.

User Name:*

A user name and password must be entered in order to be able to access and update your personal fundraising page.
Enter a unique user name for each participant of the event. No spaces allowed.
(i.e. first and last name: janedoe or first initial and last name jdoe)

Password:*

Minimum 6 characters. At least one letter and one number.
Only enter letters, numbers, periods, hyphens or exclamation marks.

Confirm Password:*

I would like to set a goal of:*

CLICK BELOW TO SELECT A FUNDRAISING GOAL to create a personal fundraising page, create a fundraising team, or join a fundraising team to raise money through peer-to-peer outreach. .91 cents of every $1.00 raised goes directly to programs and services to feed, clothe, and shelter clients.

Here is a short video that we hope will inspire your fundraising https://www.youtube.com/watch?v=CHnzYI77FT8

In addition to registering, I would like to make a donation in the amount of:

$.00

Date of Birth:*

(mm/dd/yyyy)

Age:*

Gender:*

Male
Female

Which Event Are You Participating In?:*

1 Mile Walk
5K

Shirt Size?:*

Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Adult X Large
Adult XX Large
Adult XXX Large

Waiver and Release
In consideration of this entry being accepted, I hereby for myself, heirs, executors, and administrators, waive and release any claim I may have against West Side Catholic Center, its officers and directors, the organizing committee, the sponsoring organizations, the event venue or their representatives, successors, or assignees for any injury that may be suffered by me at or in this event.

Release:*

I have carefully read this Waiver and fully understand its contents. I am aware that by accepting this Waiver, I am waiving legal rights and knowing this, I accept it of my own free will.

Date of Birth:*

(mm/dd/yyyy)

Age:*

Gender:*

Male
Female

Which Event Are You Participating In?:*

1 Mile Walk
5K

Shirt Size?:*

Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Adult X Large
Adult XX Large
Adult XXX Large

Waiver and Release
In consideration of this entry being accepted, I hereby for myself, heirs, executors, and administrators, waive and release any claim I may have against West Side Catholic Center, its officers and directors, the organizing committee, the sponsoring organizations, the event venue or their representatives, successors, or assignees for any injury that may be suffered by me at or in this event.

Release:*

I have carefully read this Waiver and fully understand its contents. I am aware that by accepting this Waiver, I am waiving legal rights and knowing this, I accept it of my own free will.

Date of Birth:*

(mm/dd/yyyy)

Age:*

Gender:*

Male
Female

Which Event Are You Participating In?:*

1 Mile Walk
5K

Shirt Size?:*

Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Adult X Large
Adult XX Large
Adult XXX Large

Waiver and Release
In consideration of this entry being accepted, I hereby for myself, heirs, executors, and administrators, waive and release any claim I may have against West Side Catholic Center, its officers and directors, the organizing committee, the sponsoring organizations, the event venue or their representatives, successors, or assignees for any injury that may be suffered by me at or in this event.

Release:*

I have carefully read this Waiver and fully understand its contents. I am aware that by accepting this Waiver, I am waiving legal rights and knowing this, I accept it of my own free will.

Date of Birth:*

(mm/dd/yyyy)

Age:*

Gender:*

Male
Female

Which Event Are You Participating In?:*

1 Mile Walk
5K

Shirt Size?:*

Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Adult X Large
Adult XX Large
Adult XXX Large

Waiver and Release
In consideration of this entry being accepted, I hereby for myself, heirs, executors, and administrators, waive and release any claim I may have against West Side Catholic Center, its officers and directors, the organizing committee, the sponsoring organizations, the event venue or their representatives, successors, or assignees for any injury that may be suffered by me at or in this event.

Release:*

I have carefully read this Waiver and fully understand its contents. I am aware that by accepting this Waiver, I am waiving legal rights and knowing this, I accept it of my own free will.

Date of Birth:*

(mm/dd/yyyy)

Age:*

Gender:*

Male
Female

Which Event Are You Participating In?:*

1 Mile Walk
5K

Shirt Size?:*

Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Adult X Large
Adult XX Large
Adult XXX Large

Waiver and Release
In consideration of this entry being accepted, I hereby for myself, heirs, executors, and administrators, waive and release any claim I may have against West Side Catholic Center, its officers and directors, the organizing committee, the sponsoring organizations, the event venue or their representatives, successors, or assignees for any injury that may be suffered by me at or in this event.

Release:*

I have carefully read this Waiver and fully understand its contents. I am aware that by accepting this Waiver, I am waiving legal rights and knowing this, I accept it of my own free will.