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A Nonprofit Veterans Organization, Honoring Those Who Serve(d)®

Register Below

You are required to have the order number from your registration purchase for each form completed.

Shirts are adult men sizes; same as past events. Shirt sizes cannot be exchanged due to limited amount of shirts."

Annual Event Registration

Order Number

Enter the order number from the registration. A form must be completed for each registration paid for. To receive and order number, purchase a registration through our store.

Event Location

Compete in Republic, MO or where you choose through our Shadow event (virtual race). Shadow Participant: An event shirt and finisher's medal will be mailed to you. Please consider select the shadow shipping option while checking out.

Name

Please avoid using all caps. If registering multiple people, please fill out a form for each person, as each person must personally agree to the waiver below.

First Name

Last Name

Which branch of the United States Armed Forces did you serve in last (if applicable)?

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Gender

Age (as of event date)

Six (6) years old and above must register

Parent or Legal Guardian

Required if the registrant is 17 years old or younger on the day of the event.

First Name

Last Name

Shirt Size

Note: Wear the first shirt you received as a Rucker or Runner to the 5th annual event. If your first shirt was from the 1st year (green shirt), wear that. If this is your first year, wear the 5th annual shirt. "Shirt only guaranteed if registered by Oct 6. Shirts are adult men sizes; same as past events. Shirt sizes cannot be exchanged due to limited amount of shirts."

Rucker or Runner

Ruckers walk with your own rucksack/backpack/weighted vest. Runners run without a rucksack/backpack/weighted vest. There are stations along the route. It is **optional** to stop at each station but highly encouraged to get the full "boot camp inspired" effect. There's no weight requirement for your rucksack/backpack/weighted vest, **unless** you are rucking for a placement medal or part of a team. If you are COMPETING for a placement medal or part of a TEAM, you are required to complete 25 reps at each stations Ruckers...your rucksack/backpack/weighted vest must be: Women = 35lbs Men = 45lbs. You can remove your rucksack/backpack during the exercises. Keeping your rucksack on during exercises is totally up to you. Sate safe! Since we're collecting canned goods and donating them to Home at Last, you may choose to put them in your rucksack as weight.

Distance

5.56K | 5 STATIONS PLUS 5.56K DISTANCE 1. Push Ups 2. Jumping Jacks 3. Mountain Climbers (4 count) (turn around point) 4. Body Weight Squats 5. Burpees (6 count) 7.62K | 7 STATIONS PLUS 7.62K DISTANCE 1. Push Ups 2. Jumping Jacks 3. Mountain Climbers (4 count) 4. Plyo (“clapping”) Push Ups (turn around point) 5. Walkout Push Ups 6. Body Weight Squats 7. Burpees (6 count) 11.11K | 10 STATIONS PLUS 11.11 K DISTANCE 1. Push Ups 2. Jumping Jacks 3. Mountain Climbers (4 count) (turn around point) 4. Body Weight Squats 5. Burpees (6 count) 6. Push Ups 7. Jumping Jacks 8. Mountain Climbers (4 count) (turn around point) 9. Body Weight Squats 10. Burpees (6 count)

Participant or Competitor

Participant (Earns finisher's medal.) Competitor (Eligible for placement medal; 1st, 2nd, 3rd, Male/Female, Rucker/Runner, 5.56K/7.62K) **Competitors: 25 reps are required at each station. Ruckers’ rucksack/backpack/weighted vest must weigh 35lb for ladies and 45lbs for men. Removing rucksack/backpack/weighted vest at stations is up to the individual. Stay safe!

Solo or Team

Are you participating in a team? ***Team Members: 25 reps are required at each station. Ruckers’ rucksack/backpack/weighted vest must weigh 35lb for ladies and 45lbs for men. Removing rucksack/backpack/weighted vest at stations is up to the individual. Stay safe! Teams: Minimum of 4 per team, Ruckers or Runners. Team Member (Eligible for team award and placement medal.)

Team Name

No response required unless you have a team name.

Emergency Contact Name

First Name

Last Name

Emergency Contact Phone Number

(###)

###

####

Camping

Do you plan on camping at the Ruck ‘N’ Run Base Camp? It’s FREE! Camp out with us. Gather around the fire pit to connect with other participants. If you would like to, bring the family. Campers and RVs welcome but utility hook ups are not available. Offsite disposal is your responsibility. Only fires in designated areas will be allowed in accordance with the local Fire Department. Camping is at your own risk and we are not responsible for lost or stolen items. Bring your own camping supplies. By signing below, you acknowledge this information.

How did you hear about Ruck 'N' Run?

Waiver

I, being the person stated above (or parent/legal guardian), have read all event details and know that participating in this event is a potentially hazardous activity, which could cause injury and/or death. I will not enter and/or participate unless I am medically able and properly trained. By my online acknowledgment/signature, I certify that I am medically able to perform this event, am in good health, and I am properly trained. I agree to abide by any decision of a race official relative to any aspect of my participation in this event, including the right of any official to deny or suspend my participation for any reason whatsoever. I attest that I have read the all event details and agree to abide by them. I assume all risks associated with walking/rucking/running/camping in this event, including but not limited to: falls, contact with other participants, the effects of the weather, traffic and the conditions of the road, or moving on and/or off the road to complete the designated stations, all such risks being known and appreciated by me. I understand that bicycles, skateboards, roller skates or roller blades, and personal music players are not allowed in the race. I will abide by all race rules. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release Ruck ‘N’ Run, Inc., Meadowview Baptist Church, Inc., Home at Last (a program of The Kitchen Inc.), the city of Republic, all event sponsors, their representatives and successors 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 grant permission to all of the foregoing to use my photographs, motion pictures, recordings, or any other record of this event for any legitimate purpose.

Who will you participate for? Click the Honor Wall button after you submit the registration form.

Date of Birth

YYYY

Text

Who will you Ruck 'N’ Run in honor of?

Click the Honor Wall button below.

Dedicate by 11:59PM on 19OCT to have their name added to the physical wall at the event.

Honor wall