Color Dash - Saint Francis Healthcare System Foundation

Saint Francis Foundation is excited to host the second annual Color Dash 5K and Fun Walk on Saturday, October 3 at Arena Park!

Start Time 10 am, Registration 9 - 9:45 am

Proceeds will benefit the Dig for Life program at Saint Francis, which provides free cancer screenings for the four major cancers in the area: Lung, Prostate, Colon and Breast.

Race Packet Pick Up Day is October 1 at Saint Francis Healthcare System - Saint Agatha Conference Room - Entrance 1 from noon to 3 pm.

Registration Prices

Individual:
$40 (early bird $35)
Individual - Cancer Survivor:
$30
Team:
$175 (early bird: $160)

Early bird pricing available through September 7.

Please Note:

T-shirt size only guaranteed for registrations submitted by September 7
Early bird pricing only available for the payroll deduction payment option through August 25.
The payroll deduction payment option is only available through September 22.

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:*

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. 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.

When Paying with Payroll Deduction:

The payroll deduction cutoff for early bird prices is August 25. The payroll deduction cutoff for regular prices is September 22.

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 3

Participant 3 Name:*

First Middle Last

Participant 3 Age:*

Participant 3 T-Shirt Size:*

Participant 4

Participant 4 Name:*

First Middle Last

Participant 4 Age:*

Participant 4 T-Shirt Size:*

Participant 5

Participant 5 Name:*

First Middle Last

Participant 5 Age:*

Participant 5 T-Shirt Size:*