Reg Women in Stride

REGISTRATION FORM

Please submit this form before 5:30pm on Mar 13th, 2025 to avoid late registration fees

> ALL FIELDS REQUIRED <

Your First Name

Your Last Name

Gender
FemaleMale

Your Age

T-shirt Size click on box below to see options
—Please choose an option—YouthSmallMediumLargeExtra Large

Event Preference click on box below to see options>
—Please choose an option—5K Race5K Run/Walk

Club/Group/Team you're representing

Location where you are participating from representing your area

Your Telephone Number

Your Email Address must be valid and can accept emails and your mailbox not full

Confirm Your Email Address make sure it's identical, check for capital letters and spelling

ACKNOWLEDGEMENTS
I acknowledge I am physically capable in participating in this event. I understand that the 5K race is chip-timed and if I fail to return the timing chip, I will be charged a $100 replacement fee.
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NOTE:
- After clicking the button below, you will get a popup message stating your registration was sent and will be redirected to a new page. If these does not happen, please verify all the information is inputted in the form.

- Also, you should receive an automatic email confirmation, please check your junk/spam folder or promotions tab if you do not see it in your inbox. Before clicking the "SIGN UP" button, Please verify your email address you entered is correct. If you did not get an email, please let us know. Also, note that Hotmail, Live, icloud may block this email.

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