Please fill out the form below and don’t forget to send your payment to: North Jeffco Foundation Car Show Run, 13150 W. 72nd Avenue, Arvada CO 80005. Cash or check only. Checks payable to North Jeffco Foundation.

Please send one entry form per person/family group.

Whichever event you choose, treat yourself to a great breakfast afterward…pancakes, sausage, juice and coffee, prepared by Arvada-Jefferson Kiwanis! It’s $5 for adult, $3 for kids 6-12 and free for ages 6 and under. Breakfast proceeds go to the Arvada-Wheat Ridge Service Ambassadors for Youth, a local program benefiting youth working to overcome adversity in their lives. Just check the breakfast option and we’ll include a ticket in your event packet.

5K - Includes T-shirt
• Adult: $20 if registered by noon on June 12, $25 for race day registration
• Adult/child team (adult plus child under 18): $25 if registered by noon on June 12, $30 for race day registration

1 mile family fun run/walk
• Adult: $10 if registered by noon on June 12, $15 for race day registration
• Adult/child team—one or more adults and one or more children: $20 if registered by noon on June 12, $25 for race day registration. Two T-shirts included in registration fee; purchase additional T-shirts for $5 each.

Registration
  1. (required)
  2. Gender (for prizes)
  4. (required)
  6. (required)
  7. (required)
  8. (required)
  9. (required)
  10. (valid email required)
  12. Event



T-Shirts
  1. One T-shirt included per registration. Two T-shirts included in the Family registration fee; purchase additional T-shirts for 5 dollars each.
  2. Please enter quantity in the corresponding field(s) below:
Pancake Breakfast
  1. 5 dollars for adult, 3 dollars for kids 6-12 and free for ages 6 and under. Breakfast proceeds go to the Arvada-Wheat Ridge Service Ambassadors for Youth, a local program benefiting youth working to overcome adversity in their lives. Just check the breakfast option and we’ll include a ticket in your event packet.
Payment Information
  1. Plaese mail your payment to: North Jeffco Foundation Car Show Run, 13150 W. 72nd Avenue, Arvada CO 80005.
Release and Waiver
  1. In consideration of being permitted to take part in the activity, or utilize the facility or service set forth herein, I expressly agree as follows: I hereby acknowledge that the activity set forth herein contains dangers and risks and may result in injury to the participant. I hereby assume all risks of personal injury, death, and property damage from any causes whatsoever arising while my child, or I are participating in such activity. I, or my child, are in good health and are physically able to participate in such activity. I agree to unconditionally waive and release Apex Park and Recreation and/or the City of Arvada, and their officers and employees, agents, servants, and all representatives and sponsors from injury that I or my child may sustain, or any damage that may be caused to me or my child's property in connection with said activities or use of such facilities or services, including injuries sustained or property damage caused by any use of equipment I may rent from Apex Park and Recreation District, their officers, employees, agents, servants or sponsors. I also authorize and consent to any emergency x-ray examination, medical diagnosis, or treatment or hospital care to be rendered to me or my child under the general or special supervision, and on the advice of any physician licensed to practice in the State of Colorado. Participants may be photographed while utilizing the facility, services, or participating in a Apex Park and Recreation District program and said photographs, or likeness of me, may be used to publicize activities as the district deems appropriate. By agreeing, I also understand that my entry fee is non-refundable.
Visitor Verification Question
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