Individual Information:

Accepting Visa, MasterCard, and Discover
First Name: 
Last Name: 
Address: 
Address 2: 
City: 
State
Zipcode: 
Country: 
Email: 
Emergency Phone Number: 
Sex: 
T-Shirt: 
Police vs Firefighters (optional): 
USATF number (optional): 
Age (on race day) 
Race: 
5k Best Time (Only required for 5K run/walk): :
if left blank, you will be in the LAST wave of runners
Waiver: Waiver: In consideration of the acceptance of this entry. I hereby for myself, heirs, executors, and administrators, waive and release any and all rights and claims for damages I may have against CVS Caremark and its respective, parents, subsidiaries, affiliates, successors and assigns, Downtown 5K, Inc., the City of Providence, USATF, sponsors, race officials, organizers and volunteers associates with this event for any injury that may occur as a result of my participation in this event. Further, I agree that any pictures or photographs taken of me by CVS Caremark or Downtown 5K, Inc., or their respective agents, in connection with this event are owned by CVS Caremark and Downtown 5K, Inc., and I waive all rights to inspect or approve the final product. I hereby irrevocably grant to CVS Caremark and Downtown 5K, Inc. or their respective assigns, the right and permission to use or license the use my name, likeness, voice, image or photograph of me, gathered in connection with this event, in any media or manner for the purpose of promotion of CVS Caremark and Downtown 5K, Inc., and their programs, including this event. *If this release is for a minor, I confirm that I am the legal parent or guardian of the minor named below. I consent to the foregoing on behalf of such minor and personally join in the affirmance of representations set forth above.
Check this button if you agree to this waiver