Step 1 of 4 (Registration Agreement)

Flower Power 5K

Saturday, October 21, 2017 in San Antonio, TX at Mission County Pavilions (Pavilion 1)

  • Kids' Run (1K)
    Registration before October 1st includes shirt. Shirt not guaranteed after that date. This race is not chip timed.



* Click here for fee information


Release and Indemnification

The signing of this entry blank form and the participation in the Flower Power 5K Fun Run/Walk presented by the Institute for Women’s Health is with full knowledge of the risks involved therein and the undersigned individually and/or as parent or guardian assumes the risk of an injury, sickness or health defect including death, resulting from or receiving during participation in the races, and further releases and agrees to save harmless the Flower Power 5K Fun Run/Walk and the Institute for Women’s Health, its committees, sponsoring and assisting agencies and individuals from any liability, damage, claim or judgment that may result from or arise out of the participation of the participant in this race. I grant permission to be photographed, videotaped and recorded for all media usage.



Please Sign Below

Your electronic signature is the online equivalent of your ink-on-paper signature, and can be provided by typing your name where indicated. The electronic signature will signify your understanding, acceptance, and authorization to accept the conditions of this legal document, including the following statements:

  • I have read, have understood, and do accept the agreement above.
  • I understand that this is a legal document with effects that I approve and authorize.
  • The registrant is the person(s) whose name is submitted as the recipient of the goods and services provided as a result of this transaction.
  • I am authorized to agree to the terms of this document on behalf of the registrant.
  • If the registrant is under 18 years of age, incapacitated, or mentally challenged, I assert that I am the parent/legal guardian or otherwise authorized to execute a legally binding agreement on behalf of the registrant.

Electronic Signature




Multiple signers should separate their signatures with commas.


This agreement was generated at 3:15:26 AM EDT on 08/19/2017.







Click here to print the agreement.

You are encouraged to keep a copy of this agreement for your records. This agreement was generated at 3:15:26 AM EDT on 08/19/2017


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