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First name

Last name

Date of birth

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Phone

Street

City

State

Zip

Races

5K Run/Walk - Running - 5K ($30.00)

1 Mile Fun Walk - Other - Fun Run/Walk ($15.00)

Extras

Gender

Male

Female

Age on Race Day

Shirt Size 5K ONLY not 1 mile

Team Group Type

From the selections above membership information is required. If you are not a member you must purchase a membership.

Fundraise for this event

Yes

No thanks

Raise funds with a team

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Team

New team

Set a fundraising goal

Goal