5K REGISTRATION FOR KIDSAre you 15 years old, or younger?You can participate in our 5k Survivor’s Run for free! All we need from you is a bit of information. Please fill out the form below. We can’t wait to see you on Oct. 5 at Legacy Loop Plaza! Participant Name* First Last How Old Are You?*Please enter a number less than or equal to 15.Contact Email Address* What t-shirt size would you like?*Child SChild MChild LChild XLAdult SAdult MAdult LAdult XLAre you running with an Adult?* Yes No If yes, who is the adult you're running with? First Last Parent/Guardian Name* First Last Parent/Guardian Phone Number*Liability Waiver Agreement* I agree to the above liability waiver.I know that running/walking is a potentially hazardous activity. I should not enter or run or walk in this event unless I am medically able & properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with running in this race including, but not limited to, falls, contact with other participants, the effects of weather, including high heat and/or humidity or snow/ice, the conditions of the road and traffic on the course, all such risks being known and appreciated by me. Having read this waiver and knowing these facts, and in consideration of your acceptance of my application, I, for myself, and anyone entitled to act on my behalf, waive and release TESSA, their employees staff and volunteers, LYMEvents LLC the race organizers and volunteers, all sponsors, the City of Colorado Springs and their managers, members, owners employees, agents and their representatives and successors, and all volunteers from all claims or liabilities of any kind arising out of my participation in this event even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I certify that I am physically able to participate in this event. I understand that all fees are non-refundable, and I also allow my name and image to be posted in the results in various media such as newspaper, periodicals and the web. This iframe contains the logic required to handle Ajax powered Gravity Forms.