The patron will be redirect to the following pages based on the authorized result.
Use complete URL including https://
The following URL parameters are included in the response and may be used on the landing page via custom programming:
Example Success URL: https://yourpageurl.com/success-page?on=123456&result=success&response=authorized&t=totalamount&refid=referenceid&trk=tracker
Example Decline URL: https://yourpageurl.com/decline-page?on=123456&result=failure&response=dcl&t=totalamount
Enter your custom content here
RACE BEGINS AT 8:15 A.M.
$20.00 for registration received by June 30, 2018.
$25.00 entry fee after June 30th.
$10.00 entry fee for Kids' Race (9 & under).
T-shirts guaranteed to all pre-registered before June 30th.
Registration forms also available at sites in town including Town of Floyd office, Floyd Chamber of Commerce, Jessie Peterman Library.
Please fill out form completely.
Race Day: Registration will open at 7:00 a.m. on race day at Chantilly Farm. Registration will close promptly at 8:00 a.m.
Packet Pick-up: Packets can be picked up on race day.
Awards & Age Groups: An awards ceremony will follow as soon as possible at the conclusion of the race. Top three men and women will receive overall awards. The top three men and women in each age group will receive awards. You may only receive one award. Age groups are:
9 & under 10-14 15-19 20-29
30-39 40-49 50-59 60-69 70
Kids Races: The Kids Races (9 & under) will be held at the conclusion of the 5K race. For a $10.00 entry fee, young athletes will receive a t-shirt and award. All children must be accompanied by an adult.
Send Postal Mail acknowledgement:
Waiver: In consideration of your accepting this entry, I, the undersigned, intending to be legally bound hereby for myself, my heirs, executors and administrators, waive and release any, and all rights and claims for damages and other claims I may have against Healthy Floyd, Chantilly Farm, their employees, managers and Board members, and all those persons involved in organizing and manning this event from all claims, demands, losses, damages, actions cause of action or suits of whatsoever kind or nature, arising out of my participation in the Healthy Floyd 5K on July 14, 2018. I realize that some of the activities may subject me to certain stresses and hazards, not all of which can be foreseen. I desire and consent, by signing this form, to take part in all such activities. I assume all the ordinary risks normally incident to the nature of this activity. Furthermore, I also agree that I have appropriate health care coverage for this activity.
All Rights Reserved.