Participant Registration

Choose from one of the following options to continue registering:

I AM A NEW
PARTICIPANT

Participant First Name:*

Participant Last Name:*

Participant Email:*

Confirm Email:*

By registering as a participant and providing your email address, you are agreeing to receive important participant event updates via email.

User Name:*

A user name and password must be entered in order to be able to access and update your personal fundraising page.
Enter a unique user name for each participant of the event. No spaces allowed.
(i.e. first and last name: janedoe or first initial and last name jdoe)

Password:*

Minimum 6 characters. At least one letter and one number.
Only enter letters, numbers, periods, hyphens or exclamation marks.

Confirm Password:*

I would like to set a goal of:*

CLICK BELOW TO SELECT A FUNDRAISING GOAL. You can participate and also setup a personal fundraising page to help raise extra funds for brain tumor research.

This goal is not a commitment, but rather a pledge on what you hope to raise for this very important cause.

In addition to registering, I would like to make a donation in the amount of:

$.00

Shirt Size?:*

Adult Small
Adult Medium
Adult Large
Adult XLarge
Adult XXLarge
Youth Small
Youth Medium
Youth Large

What is your Birth date?:*

(mm/dd/yyyy)

Age on date of Event:*

Gender:*

Male
Female

Phone Number:*

Street address:*

City:*

State:*

Zip Code:*

Best way to contact you?:*

Phone call
Text
Email

Interested in volunteering for the 5k?:

Are you a Brain Tumor Survivor?:*

YES! I'm a Brain Tumor Survivor
No

Waiver and Release
I understand that walking and running in races are potentially hazardous activities. I should not enter and run or walk in the Utah's Go Grey in May 5k (the "Event") unless I am medically able and properly trained. I agree to abide by any decision of an Event official relative to my ability to safely complete the Event. I assume every risk associated with participating in the Event including, but not limited to, falls, contact with Event participants or volunteers or with vehicles, the effects of the weather, and course conditions, all such risks being known and appreciated by me. Having read this waiver and knowing these facts, and in consideration of your acceptance of my application, I, for myself and anyone entitled to act on my behalf, do waive and release the Utah's Go Grey in May 5K, Utah Brain Tumor Alliance, the Musella Foundation for Brain Tumor Research & Information, Inc., the city of Salt Lake City, the county of Salt Lake, Event timers, sponsors and organizers, and their representatives, agents, affiliates, employees and successors from all claims and/or liabilities of any kind arising out of my participation in the Event. I also grant permission to all the foregoing to use any photograph, motion picture, recordings, or any other record of the Event for any legitimate purpose.

Release:*

I have carefully read this Waiver and fully understand its contents. I am aware that by accepting this Waiver, I am waiving legal rights and knowing this, I accept it of my own free will.

Shirt Size?:*

Adult Small
Adult Medium
Adult Large
Adult XLarge
Adult XXLarge
Youth Small
Youth Medium
Youth Large

What is your Birth date?:*

(mm/dd/yyyy)

Age on date of Event:*

Gender:*

Male
Female

Phone Number:*

Street address:*

City:*

State:*

Zip Code:*

Best way to contact you?:*

Phone call
Text
Email

Interested in volunteering for the 5k?:

Are you a Brain Tumor Survivor?:*

YES! I'm a Brain Tumor Survivor
No

Waiver and Release
I understand that walking and running in races are potentially hazardous activities. I should not enter and run or walk in the Utah's Go Grey in May 5k (the "Event") unless I am medically able and properly trained. I agree to abide by any decision of an Event official relative to my ability to safely complete the Event. I assume every risk associated with participating in the Event including, but not limited to, falls, contact with Event participants or volunteers or with vehicles, the effects of the weather, and course conditions, all such risks being known and appreciated by me. Having read this waiver and knowing these facts, and in consideration of your acceptance of my application, I, for myself and anyone entitled to act on my behalf, do waive and release the Utah's Go Grey in May 5K, Utah Brain Tumor Alliance, the Musella Foundation for Brain Tumor Research & Information, Inc., the city of Salt Lake City, the county of Salt Lake, Event timers, sponsors and organizers, and their representatives, agents, affiliates, employees and successors from all claims and/or liabilities of any kind arising out of my participation in the Event. I also grant permission to all the foregoing to use any photograph, motion picture, recordings, or any other record of the Event for any legitimate purpose.

Release:*

I have carefully read this Waiver and fully understand its contents. I am aware that by accepting this Waiver, I am waiving legal rights and knowing this, I accept it of my own free will.

What is your Birth date?:*

(mm/dd/yyyy)

Phone Number:*

Street address:*

City:*

State:*

Zip Code:*

Interested in volunteering for the 5k?:

Shirt Size?:*

Adult Small
Adult Medium
Adult Large
Adult XLarge
Adult XXLarge
Youth Small
Youth Medium
Youth Large

What is your Birth date?:*

(mm/dd/yyyy)

Phone Number:*

Street address:*

City:*

State:*

Zip Code:*

Best way to contact you?:*

Phone call
Text
Email

Are you a Brain Tumor Survivor?:*

YES! I'm a Brain Tumor Survivor
No

What is your Birth date?:*

(mm/dd/yyyy)

Street address:*

City:*

State:*

Zip Code:*

Are you a Brain Tumor Survivor?:*

YES! I'm a Brain Tumor Survivor
No

Shirt Size?:*

Adult Small
Adult Medium
Adult Large
Adult XLarge
Adult XXLarge
Youth Small
Youth Medium
Youth Large

What is your Birth date?:*

(mm/dd/yyyy)

Age on date of Event:*

Gender:*

Male
Female

Phone Number:*

Street address:*

City:*

State:*

Zip Code:*

Are you a Brain Tumor Survivor?:*

YES! I'm a Brain Tumor Survivor
No

Waiver and Release
I understand that walking and running in races are potentially hazardous activities. I should not enter and run or walk in the Utah's Go Grey in May 5k (the "Event") unless I am medically able and properly trained. I agree to abide by any decision of an Event official relative to my ability to safely complete the Event. I assume every risk associated with participating in the Event including, but not limited to, falls, contact with Event participants or volunteers or with vehicles, the effects of the weather, and course conditions, all such risks being known and appreciated by me. Having read this waiver and knowing these facts, and in consideration of your acceptance of my application, I, for myself and anyone entitled to act on my behalf, do waive and release the Utah's Go Grey in May 5K, Utah Brain Tumor Alliance, the Musella Foundation for Brain Tumor Research & Information, Inc., the city of Salt Lake City, the county of Salt Lake, Event timers, sponsors and organizers, and their representatives, agents, affiliates, employees and successors from all claims and/or liabilities of any kind arising out of my participation in the Event. I also grant permission to all the foregoing to use any photograph, motion picture, recordings, or any other record of the Event for any legitimate purpose.

Release:*

I have carefully read this Waiver and fully understand its contents. I am aware that by accepting this Waiver, I am waiving legal rights and knowing this, I accept it of my own free will.

Shirt Size?:*

Adult Small
Adult Medium
Adult Large
Adult XLarge
Adult XXLarge
Youth Small
Youth Medium
Youth Large

Street address:*

City:*

State:*

Zip Code:*

Street address:*

City:*

State:*

Zip Code:*