Register for the Mifflinburg 5K Race

All Registrants MUST report to the registration table between 7:30 and 8:30 AM on the day of the race. The registration table will be in the pavilion at the Mifflinburg Community Park.

NO REFUNDS: The official race director reserves the right to reject any entry.

Active.com Members or anyone wishing to pay by credit card may register at:
active.com

If you're not a member of active.com, we'll be happy to take your registration, however, you will need to mail your payment.

FUN RUN registrants cannot register online. A Parent's Signature is required for all runners under age 18. Please download the Mifflinburg 5K registration form and return it to us with your payment and the required parental signature.

If you are over 18, you may continue with your registration.

Make checks payable to:
Mifflinburg Fourth of July Committee

Mail Your Registration and Payment To:
Don Bowman, Chair
517 Old Orchard Lane
Mifflinburg, PA 17844

If you have questions, contact Don Bowman, Chair:
Email:
Phone: 570-966-0785

OnLine Registration

Name:  
Email:  
Address:  
City: State: Zip:
Phone: (including area code)
Age: Sex:
Shirt Size:

Application Release and Indemnity Form
In consideration of the acceptance of this entry to the Mifflinburg 5K, I waive all claims for myself, my heirs and assigns against the sponsors, cooperating and coordinating groups, and any individual associated with the event and will hold them harmless for any and all injuries or illness which may result from my participation. I further state that I am in proper physical condition to participate in this race.
I am 18 years of age or older.