Mustang 5K Strides for Student-Athletes Race and Fitness Walk Registration Information Fields with * are required. * First Name * Last Name * Address Street : City : State: --- Alabama Alaska Arizona Arkansas California Colorado Connecticut Washington D.C. Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip * Phone * Email address * Confirm Email address Category 5K Run Fitness Walk ** Age ** Gender Female Male Tee Shirt Size S M L XL XXL Additional Information - Please note if you are a Montgomery County Community College Student Alumni Graduation Year General Registration - $25.00 Current MCCC Student - $15.00 Children 12 and Under - $5.00 I hereby release, waive and agree not to sue Montgomery County Community College, Montgomery County Community College Athletic department, the County of Montgomery, any event organizer and/or sponsor, and/or any of their respective employees or other personnel (together, “MCCC et al”), from and for any liability, for any loss or damage, on account of injury to me or my property; and assume the risk of, and indemnify and hold harmless MCCC et al for and from, any loss, liability, damage, injury or cost I may incur, arising out of and/or related to the event. I further grant full permission to the event organizer and/or sponsor to use photographs and/or video of me in legitimate promotions of the event. I hereby acknowledge that I have read and fully understand this document, intend to be legally bound by it, understand that I am giving up substantial rights by signing it, and sign it freely and voluntarily, without any inducement, assurance or guarantee being made to me. * I Agree The next screens will take you through the payment process. Fill in your Registration amount in the "Contribution Amount" field. Be sure to select your Registration type from the "Choose a Designation" options. ** For race certification and awards.