Color Dash Saint Francis Foundation is excited to host the Color Dash 5K and Fun Walk on Saturday, October 2 at Arena Park! 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. Start Time 10 am, Registration 9 - 9:45 amRace Warm Up 9:45 am Race Packet Pick Up Day - September 30 at Saint Francis Healthcare System - Wellness Conference Rooms (Entrance 8), from 12 pm to 5 pm. For more information contact: Laura Propst email@example.com | 573-331-5791 Thank you to our Sponsors! $5,000 Level Become a Color Dash Sponsor! Registration Prices Individual:$40 (early bird $35) Individual - Cancer Survivor:$30 Team (5 participants):$175 (early bird: $160) Early bird pricing available through September 10. Please Note: T-shirt size only guaranteed for registrations submitted by September 10 The payroll deduction payment option is only available through September 10. Please register below. If you'd prefer, you may download and print the registration flyer. 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:*SMLXL2XLRegistration Type:*IndividualIndividual (Cancer Survivor)TeamPayment Option:*Select One...CashCheckCredit CardIf you wish to pay by cash or check, please download and print the registration flyer and mail / bring to the address listed on that form.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 63703When 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.Order Total:Your Saint Francis Employee Number:* Team Name* How Many Participants On This Team?*56789Participant 2Participant 2 Name:* First Middle Last Participant 2 Age:*Participant 2 T-Shirt Size:*SMLXL2XLParticipant 3Participant 3 Name:* First Middle Last Participant 3 Age:*Participant 3 T-Shirt Size:*SMLXL2XLParticipant 4Participant 4 Name:* First Middle Last Participant 4 Age:*Participant 4 T-Shirt Size:*SMLXL2XLParticipant 5Participant 5 Name:* First Middle Last Participant 5 Age:*Participant 5 T-Shirt Size:*SMLXL2XLParticipant 6Participant 6 Name:* First Middle Last Participant 6 Age:*Participant 6 T-Shirt Size:*SMLXL2XLParticipant 7Participant 7 Name:* First Middle Last Participant 7 Age:*Participant 7 T-Shirt Size:*SMLXL2XLParticipant 8Participant 8 Name:* First Middle Last Participant 8 Age:*Participant 8 T-Shirt Size:*SMLXL2XLParticipant 9Participant 9 Name:* First Middle Last Participant 9 Age:*Participant 8 T-Shirt Size:*SMLXL2XLBy 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.