Ninth Annual Colorectal Cancer Awareness 5K Walk & Run

Eastern Sierra Cancer Alliance
Ninth Annual Colorectal Cancer Awareness 5k Walk & Run
Saturday, March 28, 2026
Blue Ribbon Walk & Run Registration Form

IN PERSON EVENT: Saturday, March 28, 2026 at Millpond Park Gazebo
TIME: Registration beings at 8:30am. Walk/Run Kick-Off at 9:00am.
Photos: Share your photos of your walk/run after the event here.

Pre-Registration and Pick-Up Northern Inyo Healthcare District
Wednesday, March 25, 11am to 1pm in the Administration Breezeway
Grocery Outlet Bishop – Thursday, March 20, 4pm to 6pm

Blue Ribbon Walk & Run Registration Form

DOWNLOAD RACE REGISTRATION (PDF) to mail with your check

Blue Ribbon Walk & Run Registration Form 2026

Please fill out the below information. Thank you

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Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Phone*

Type of registration*

$40 - Adult/Teen

$20- Youth 12 and under

Raffle Tickets

Price: $1.00

Raffle Winners will be announced on Saturday, March 28, 2026 after the race.

Waiver

I, the undersigned as a condition of participating in this event, do hereby for myself, my heirs, executors, and administrators, indemnify and hold harmless the Eastern Sierra Cancer Alliance, and any subsidiaries and related entities, such as its officers, directors, sponsors, employees, lessees, or any agencies or individuals associated with this event for any and all injuries sustained by me in the course of this event. I hereby waive any and all rights of claim for damages I may have against the foregoing, their officers, directors, sponsors, or any agencies or individuals associated with this event for any and all injuries sustained by me in the course of this event. I understand that children age 12 and under registered to participate must be accompanied by a parent or guardian and may not be left unattended by that parent or guardian. If I choose to bring a dog on the walk or run, I will keep the dog on leash and under control at all times and I will be responsible for all of its actions, financially and otherwise. I grant permission to all of the foregoing to use any photographs, motion pictures, recordings, verbal or written statements, or any other record of this event for any legitimate purpose without my consent. I am of legal age, have read this release, fully understand it ,and freely agree to all of its terms.

Signature*

Please type your name. EVERY participant must sign! Participants under age 18 must have a parent/guardian signature.

Date of Signature*

Payment

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Total Registration Cost

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Payment Method

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Please make your check payable to Eastern Sierra Cancer Alliance “ESCA,” include a note about which participant(s) the check covers, and mail by October 10th to:

Eastern Sierra Cancer Alliance Ninth Annual Colorectal Cancer Awareness 5k Walk & Run Saturday, March 28, 2026 Blue Ribbon Walk & Run Registration Form

Blue Ribbon Walk & Run Registration Form

Blue Ribbon Walk & Run Registration Form 2026

Waiver

Payment

ESCA P.O. Box 1523 Bishop, CA 93515

Eastern Sierra Cancer Alliance
Ninth Annual Colorectal Cancer Awareness 5k Walk & Run
Saturday, March 28, 2026
Blue Ribbon Walk & Run Registration Form

ESCA
P.O. Box 1523
Bishop, CA 93515