Zombie 5K Fun Run Registration Form Name Email Phone Emergency Contact Emergency Phone PAYMENT OPTIONS Credit Card (Online Payment) Zelle (contact@hopefortbend.org) Other (Sponsored) Please complete and SUBMIT this form.If you are paying online, you will be redirected to a page where you can make your payment through our new online secure form. Other forms of payments, please contact us for payment processing. Josie Jimenez: 281-633-1960 or josieaj@yahoo.com Veronica Munoz: 832-380-1956 or munozvc2@gmail.com Release of Liability By selecting and submitting this form you are agreeing to the Release of Liability for the H.O.P.E. Zombie 5K Fun Run. Digital Signature Date Parent's Digital Signature (if under age 18) Date Submit Your Entry Form info@hopefortbend.org 281-633-1960 P.O. Box 2011 Richmond, TX 77406