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First name

Last name

Date of birth

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Phone

Street

City

State

Zip

Races

5K Run - Running - 5K ($45.00)

5K Walk - Running - 5K ($40.00)

Extras

Gender

Male

Female

Team Name for Team Scoring Only (must match other team members)

Shirts by 5/20 only

Team Competition Category (5 or more on a team)

Man's Best Friend Competition

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Fundraise for this event

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Team

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Set a fundraising goal

Goal

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PARTICIPANT LISTS (Report by bib #)