Welcome! this payment procedure is designed to be easy, secure, and less expensive than alternatives (where fees are normally well over $3 per transaction). Thank you supporting our events!

Registration Form for the Flowertown 5K/10K Runs for NON-Members of the Summerville YMCA.

To complete registration you will be taken to a secure payment site.

Please note that it is NOT necessary to have a Paypal account to use this secure service (to pay directly with a credit card click on the "Continue" prompt on the next page- it's on the left- right by where it says "Don't have a PayPal account?"

Please note that a $2.00 online service charge is included in your registration price- if you wish to avoid this service fee, you may download and mail in your registration

First Name of Runner

Last Name of Runner

Event 5K

10K

Size Youth Small Medium Large X-Large

Sex Male Female

Please make sure you enter the sex and birth information for the PARTICIPANT correctly!

birth MONTH January February March April May June July August September October November December birth DAY 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 birth YEAR 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008


ADDRESS: During the payment process, please make sure the SHIPPING ADDRESS matches the runner you are registering. (billing address will need to match the payment account)

By proceeding and clicking on the "PAY NOW" button I certify that I am 18 or older (minors must have a parent or guardian do this step!) and that I have read and will abide by the event's Liability Waiver, which is listed on this page directly below the "PAY NOW" button.

Please note that it is NOT necessary to have a Paypal account to use this secure service (to pay directly with a credit card click on the "Continue" prompt on the next page- it's on the left- right by where it says "Don't have a PayPal account?"

Please note that a $2.00 online service charge is included in your registration price- if you wish to avoid this service fee, you may download and mail in your registration

Liability Waiver: I hereby release all municipal agencies whose property and/or personnel are used, ActionCarolina, and other sponsors or individual(s) from responsibility for any injuries and/or damages I may suffer as a result of my participation in the Festival Run. I hereby certify that I am in good condition and am able to safely compete in the event. I understand the entry fee is non-refundable and that my race packet cannot be mailed. As a participant, I certify that all information provided in this form is accurate and complete. I give permission for free use of my name and picture.