Donation of .....................................$50
Donation of .....................................$100
Donation of .....................................$250
Donation of .....................................$500
Donation of .....................................$1000

All runners/walkers will receive a FREE commemorative T-shirt.
Select a size: Choose Size Medium Large X-Large XX-Large 3X-Large 4X-Large 5X-Large

Participant Information (required)

Last Name


First Name          Middle Initial  

Date of Birth (00/00/0000)   Male  Female       
I accept the terms of participation as follows:
In consideration of your accepting this entry, I, the undersigned, intending to be legally bound, for myself, my heirs, executors and administrators, waive and release any and all claims for damages I may have against New Orleans Police and Justice Foundation, the City of New Orleans, State of Louisiana, Greater New Orleans Runners Assn., and any and all sponsors of this race, and their representatives, successors and assigns for any and all injuries suffered in this event. I attest and verify that I am physically fit and have sufficiently trained for the completion of this event and my condition has been verified by a licensed medical doctor. I know and understand the temperature and humidity conditions of this event. I further grant full permission to any and all foregoing use of photographs, videotapes, motion pictures, recordings or any other record of this event for any purpose whatsoever.