Color Dash - Saint Francis Healthcare System - Cape Girardeau, Southeast Missouri

Saint Francis Foundation is excited to host the Color Dash 5K and Fun Walk on Saturday, October 1 at Arena Park!

Start Time: 10 am

Registration: 9 – 9:45 am

Become a Color Dash Sponsor!

For more information, please contact the Saint Francis Foundation at foundation@sfmc.net or 573-331-5133.

Thank you to our Sponsors!

Premier Level ($5000)

Diamond Level ($1000+)

Bronze Level ($100)

Rick and Ashley Seabaugh

Race Packet Pick Up Day

September 29 at Saint Francis Healthcare System Wellness Conference Rooms (Entrance 8), from 12 pm to 4 pm.

Registration

Please register below. If you’d prefer, you may download and print the registration flyer.

Pricing	Early Bird (before September 9)	After September 9
Individual	$35	$40
Individual (cancer survivor)	$30	$30
Team (5 participants)	$160	$175

Please Note

T-shirt size only guaranteed for registrations submitted by September 9
The payroll deduction payment option is only available through September 9.

Your Name:*

First Middle Last

Your Address:*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Your Phone Number:*

Your Email Address:

Your Age:*

Your T-Shirt Size:*

Your Gender:*

Registration Type:*

Payment Option:*

When Paying By Check:

Please make your check payable to "Saint Francis Foundation" and bring / mail it to the Foundation office:

Saint Francis Medical Center
ATTN: Saint Francis Foundation
211 Saint Francis Drive
Cape Girardeau, MO 63703

When Paying With Cash:

Please bring your payment to the Foundation office (Saint Francis Medical Center, entrance 1). Mailing cash is not recommended.

When Paying by Credit Card:

After submitting this form, please follow fill out the additional form on the next page to complete your credit card order.

Order Total:

Your Saint Francis Employee Number:*

Team Name*

How Many Participants On This Team?*

Participant 2

Participant 2 Name:*

First Middle Last

Participant 2 Age:*

Participant 2 T-Shirt Size:*

Participant 2 Gender:*

Participant 3

Participant 3 Name:*

First Middle Last

Participant 3 Age:*

Participant 3 T-Shirt Size:*

Participant 3 Gender:*

Participant 4

Participant 4 Name:*

First Middle Last

Participant 4 Age:*

Participant 4 T-Shirt Size:*

Participant 4 Gender:*

Participant 5

Participant 5 Name:*

First Middle Last

Participant 5 Age:*

Participant 5 T-Shirt Size:*

Participant 5 Gender:*

Participant 6

Participant 6 Name:*

First Middle Last

Participant 6 Age:*

Participant 6 T-Shirt Size:*

Participant 6 Gender:*

Participant 7

Participant 7 Name:*

First Middle Last

Participant 7 Age:*

Participant 7 T-Shirt Size:*

Participant 7 Gender:*

Participant 8

Participant 8 Name:*

First Middle Last

Participant 8 Age:*

Participant 8 T-Shirt Size:*

Participant 8 Gender:*

Participant 9

Participant 9 Name:*

First Middle Last

Participant 9 Age:*

Participant 9 T-Shirt Size:*

Participant 9 Gender:*

By checking this box, you indicate that you agree to the following:*

I know that running or walking a road race is a potentially hazardous activity. I should not enter this race unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the race. I assume all risks associated with running in this event, including, but not limited to: falls; tripping; contact with other participants; effects of weather, including high heat and/or humidity; traffic; and conditions of the road/course, all such risks being known and appreciated by me. Having read this waiver and knowing these facts in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, hereby agree to indemnify and hold harmless the Saint Francis Foundation and its sponsors, agents, officers, representatives, volunteers, employees and the City of Cape Girardeau from all liability arising out of any and all claims, demands, losses, damages, suits, actions or judgments of any kind and description that may occur to or be suffered by me as a participant by reason of activities arising out of this event, even though that liability may arise of out negligence or carelessness on the part of the person named in this waiver. I grant permission to all the foregoing to use any photographs, motion pictures, recording and other record of this event for any legitimate purpose. I understand that this event does not provide for refunds in the event of a cancellation, and by signing this waiver, I consent that I am not entitled to a refund if the event is cancelled before or during the event for hazardous weather or anything deemed dangerous by the race director.