5K Run Registration Form
Saturday, March 14, 2026 North Caddo Gym Registration- 8 a.m. Race Start Time- 10 a.m.
Full Name
*
First Name
Last Name
Age
*
Run or Walk
*
Runner
Walker
E-mail
*
example@example.com
Contact Number
*
Shirt Size
*
Please Select
S
M
L
XL
2XL
Billing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
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American Samoa
Andorra
Angola
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The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
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Bhutan
Bolivia
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Botswana
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Cyprus
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Democratic Republic of the Congo
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Ecuador
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El Salvador
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Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
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Guernsey
Guinea
Guinea-Bissau
Guyana
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Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
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Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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5K Run/Walk Fee
$
25.00
Participant(s)
1
2
3
4
5
5K Run/Walk Student Fee(under 18)
$
20.00
Quantity
1
2
3
4
5
6
7
8
9
10
Best Costume/Outfit
Wear your best, most festive costume to fit the theme, for a chance at a great prize and bragging rights for a year!
$
2.00
Quantity
1
2
3
4
5
6
7
8
9
10
Best Cheerleader
Don't want to run the race? Come out and cheer on your favorite runners/walkers! Show up with your festive signs, costumes, bells and whistles and for a chance to be crowned our BEST CHEERLEADER!
$
2.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment
Please select payment option. If paypal is selected, you MUST add the $3 processing fee option as well.
*
Cash/Check/Money order dropped off or mailed (mail to PO Box #1, Vivian, La, 71082/drop off at 104 E Georgia Ave, Vivian, La)
Paypal payment to laredbud@aol.com (it is your responsibility to send payment)
$3 PayPal Processing Fee
Disclaimer & Liabilty
*
I acknowledge that running a road race is a potentially hazardous activity which can cause serious injury or death. I should not enter and run unless I am medically able, and by my submission, I certify that I am medically able to perform this event, and am in good health. I agree to abide by decision of a race official to deny or suspend my participation for any reason whatsoever. I assume all risks associated with running in this event, including but not limited to: falls, contact with other participants, the effect of the weather, including high heat and humidity, traffic and the conditions of the road, all such risks being known and appreciated by me. I understand that bicycle, skateboards, baby joggers, roller skates or blades, animals, and radio headsets are not allowed in the race and I will abide by this guideline. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, myself and any one entitled to act upon my behalf waive and release TEAM Texarkana, the city of Vivian and its officials, REDBUD Association and volunteers, and all sponsors, their representatives, successors and/or assigns from all claims or liabilities of any kind arising out of my participation in this event, even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I/ We also agree that any pictures taken of this event can be published on the Louisiana Redbud Website, the local newspaper or any other publication pertaining to the Louisiana Redbud Association., Inc.
Name of Parent/Guardian if participant is under age 18.
First Name
Last Name
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