Zombie Run Entry Form – H.O.P.E. – Hispanics Offering People Education

Zombie 5K Fun Run Registration Form

Name

Email

Phone

Emergency Contact

Emergency Phone

T-shirts & Discounted Pricing for Pre-Registrations until October 20, 2022

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

info@hopefortbend.org

281-633-1960

P.O. Box 2011
Richmond, TX 77406