Online Space Race Registration

Thanks for choosing to participate in the Space Race! Your registration will be submitted securely. If you are uncomfortable with registering online, download and print our paper form.

Registration Type:

T-Shirt Size

First Name

Last Name

E-mail Address

Organization/Company

Billing Address

City

State

Zip

Age

Phone Number

Credit Card

Expiration Date

Credit Card Number

Team Application

Participants are encouraged to form teams and raise additional money for Nuçi’s Space! Ask your friends, fellow survivors, employees, or family members to join your team and run with you! If they can't run, have them fill out the phantom runner option below. The team that raises the most money/brings out the most people will get a PRIZE!

Team Name (if applicable)

Team Captain's Information:

First Name

Last Name

E-mail Address

Billing Address

City

State

Zip

Age

Phone Number

Kid's S.P.A.C.E.

We are excited about our new Kids Area featuring arts and crafts, music, and other activities. If you are bringing a child that needs supervision while you are running than you MUST pre-register. Non pre-registered children will be allowed to participate based on availability. A parent must also be running in the race in order for the child to participate. The kid's area will be opened from 8:45am-10:00am.

First Name

Last Name

Age

Sex

T-Shirt Size

If you are interested in purchasing a kids S.P.A.C.E Race T-shirt for $12, please indicate the child's size here:

Does the child have any known allergies?

If so, list them:

Emergency Authorization

Extras

I am a phantom runner (t-shirt only): I cannot participate but will be there in spirit!

I would like to buy a $5 raffle ticket.

Terms & Conditions

I know that running is a potentially hazardous activity. I should not enter unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with running in this Space Race, including but not limited to falls, contacts with other participants, the effects of weather, including high heat and/or humidity, traffic and conditions of the road, all such risks being known and appreciated by me. 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 Nuï¿½s Space and the Nuï¿½s Space Student Organization, its participants, organizers, volunteers and all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event. I grant permission to all the foregoing to use any photographs, motion pictures, recordings, or any other record of this event for any legitimate purpose. I understand that all entries are final with no refunds. The official director reserves the right in any event of emergency or local or national disaster to cancel the race or to change the day and/or time to a later day and that in the event of a cancellation or change there is no refund of entry fees.

By submitting this registration you are agreeing to the above terms and conditions