What:  5K run/walk to raise funds for Be The One adoption grants

Where: Concord Community Church: 7578 Concord Rd, Patriot, Indiana

When: Saturday, May 22, 2021

Registration on day of race:   8:30am     Start Time: 9:00am

*The 3.1 mile course is mostly flat and will be an out and back along the Ohio River.

*Early Registration: Until May 15th is $20.00. The first 50 people registered will     receive a t-shirt.  Registration on day of race is $25.00.

Name: _______________________________________   Date: ___________________

Address: _________________________________________________                                         

 Email: __________________________________ 

Signature of participant or parent/guardian if under 18yrs.______________________________________________  

Please Circle:  Walk / Run         Age ____         T-Shirt Size _______

Mail Form and entry fee to Be The One – 9667 Searcy Rdg., Patriot, In 47038

Release must be signed in order to participate: In consideration of the acceptance of my entry, my executors, assignee, and administrators do hereby release and discharge race officials, race director, other race volunteers and other sponsors for all claims of damage, demand, actions, which in any manner arise from my participation in this athletic event. I attest and verify that I have full knowledge of the risks involved in this event and I am physically fit and sufficiently trained to run/walk in this event.

              Be The One Inc. is a non-profit organization.  Find us at www.betheone1.org