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| Race Info |
All fees are non-refundable |
| 10K Road Race |
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| 5K Road Race: |
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| Fun Walk |
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| Additional T-Shirts: |
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| Youth: | | |
| Small: | | |
| Medium: | | |
| Large: | | |
| X-Large: | | |
| XX-Large: | | |
| Additional Spaghetti Dinner: |
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| Personal Information |
| *E-Mail: | | Valid e-mail is required |
| *First Name: | | |
| *Last Name: | | |
| *Address Line 1: | | |
| Address Line 2: | | |
| *City: | | |
| *State: | | |
| *Zip Code: | | |
| Marital Status: | | |
| Gender: | | |
| *Date of Birth |  | |
| *Phone: | | |
| *Height: | | |
| *Weight: | | |
| *Gender: | Male
Female
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| Credit/Debit Card Information |
| *Card Number: | | No dashes or spaces please |
| *Expiration Month: | | From your card |
| *Expiration Year: | | From your card |
| *Card Brand: |
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