Rock the Monument 4-Miler Race Online Registration

Rock the Monument 4-Miler Run/Walk Fundraiser Online Registration

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Gender *

Male Female

Age on Race Day? *

T-Shirt Size *

Emergency Contact *

Emergency Contact Phone Number *

Waiver: Must be electronically signed: In consideration of my entry acceptance in the Rock the Monument Four Miler Run/Walk, I do hereby for myself, my heirs and executors, waive, release and forever discharge any and all rights and claims for damages which may hereafter occur to me against all organizations, and all legal entities affiliated with such a run for any and all injuries sustained out of my association with, entry in, participation in or travel to and from the event, I have read this form and understand the expectations of the event for which I have registered. The race will be held rain or shine.

Electronic Signature *

Electronic Signature of parent/guardian if under 18 and Date *

Submit

*If you need to register more than one participant, submit one form, refresh the page, and then submit the next form.

4-Miler Run/Walk Registration
$25 Pre-register before June 1, 2021 - includes entry and t-shirt.
$25 Registration after June 1, 2021 - includes entry, but no t-shirt.
$30 Day of Race Registration - includes entry, but no t-shirt.
Groups of 6 or more? Team leader, call 937.215.7416 to be given a discount code ($20 per participant)

*If you need to pay for more than one participant, please submit payments one at a time.