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Boys and Girls Club 5k run

Please fill out the required information.
-Registration Fee is $20 before hand and $25 dollars the day of
-Make all checks payable to "Sigma Phi Epsilon"
-All runners must sign a medical release form at the runner sign in prior to the race
-leased pets and personal music players will not be allowed
 
Name:: * required
Birthday: * required
Address: * required
City: * required
State: * required
Zip: * required
Email: * required
Emergency Contact Name: * required
Emergency Contact Number: * required
T-Shirt Size:
 S
 M
 L
 XL
 XXL
* required
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