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INFORMATION
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   EVENT REGISTRATION
3rd Annual FOCUS ON HOPE 5k & 1 mile Fun Run/Walk
08/28/2016
Applicant Information
First Name
Last Name
Date of Birth
Address 1
Address 2
City
State
Zip Code
Phone
E-Mail
GenderMale Female
     Select Event Option (required)
5k Registration Fee $ 20.00
1 mile Registration Fee $ 20.00
Team Registration Fee (includes 5 race entries) $ 100.00

Select Add-On (optional)
Women's XS Tech Tee $ 20.00
Women's SM Tech Tee $ 20.00
Women's MED Tech Tee $ 20.00
Women's LG Tech Tee $ 20.00
Women's XL Tech Tee $ 20.00
Women's XXL Tech Tee $ 25.00
Women's XXXL Tech Tee $ 25.00
Men's XS Tech Tee $ 20.00
Men's SM Tech Tee $ 20.00
Men's MED Tech Tee $ 20.00
Men's LG Tech Tee $ 20.00
Men's XL Tech Tee $ 20.00
Men's XXL Tech Tee $ 25.00
Men's XXXL Tech Tee $ 25.00
Prior Year Event T = 1 $ 10.00
Prior Year Event T = 2 $ 20.00
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Subtotal: $ 0.00
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Donation Amount (optional)
Donation Notes (in memory of, etc.)

Total: $ 0.00

Please review all information above before clicking the 'Register' button.

I have read, understood, and agreed to the Event Waiver and Release of Liability

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