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1-Mile Walk & 5K Run Registration

Presenting Sponsor: Phoenix Home Pros

1-Mile Walk & 5K Run Registration | November 7, 2026 | Glendale, AZ

Join us for a fun, family-friendly fitness event! Please complete the form below to secure your spot. Register early—limited space available!

"*" indicates required fields

Select all that apply.*

I am the participant.

I am on a team.

I am filling this out for a child.

Adult's Full Name*

Team Name*

Team Member Name(s)

Parent/Guardian Full Name*

Child’s Full Name*

Additional Child(ren) Name(s)

Address**

City*

Zip Code*

Your Email*

Your Phone Number*

Event Participation (check one or both)*

1-Mile Walk

5K Run

How did you hear about this event?*

Waiver Acknowledgment*

By submitting this form, I acknowledge that I am participating in this event at my own risk. I release the event organizers, partners, and sponsors from any liability resulting from injuries or accidents that may occur during the event. I grant Shape Up US permission to use my likeness or that of the children named above in a photo/video, without payment or any other compensation. I certify that I am the parent/guardian of the children listed above, and do hereby give my consent without reservation on behalf of this person.

I have read and agree to the waiver above.

Adult or Parent/Guardian Signature*

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