Registration 2018 Power Walk/Run Registration Please complete the form below to register for the OMU Power Run/Walk. An entry is required for each participant. You may also print the 2018 Power Run Brochure and mail your entry. The fee for early registration is $20. After October 9 the fee is $25. Online registration closes at 5pm on October 25. 1 Contact & Participant Information2 Payment & Release Form Name* First Last Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Phone*Participant InformationParticipant Name* First Last Participant Birthday* Event*5K Run5K WalkSex*FemaleMaleT-Shirt Size*SmallMediumLargeX-LargeXX-Large Date Early Registration Fee Price: $20.00 Registration Fee Price: $25.00 In consideration of the acceptance of my entry, I for myself, any executors, administrators and assignees, do hereby release and discharge Owensboro Municipal Utilities, City of Owensboro, Daviess County, the state of Kentucky and all auxiliary sponsors and all employees and officers of the aforementioned organizations from all claims of damage, demands, actions whatsoever in any manner arising or growing out of my participation in said athletic event. I attest and verify that I am physically fit and sufficiently trained to participate in this event.Parent / Guardian Name*The participant is younger than 18 years old. A parent or guardian must acknowledge and accept the above release statement. First Last Acceptance* I have read and agree to the above release statement Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20182019202020212022202320242025202620272028202920302031203220332034203520362037 Expiration Date Security Code Cardholder Name PhoneThis field is for validation purposes and should be left unchanged.