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This race does not offer refunds, this includes medical issues.
You can defer your entry to the following year for free. The last day to defer is 10/10/21, and you cannot defer two years in a row. If you do not run in 2022, there are no refunds. For instructions on how to defer your entry, please see: https://help.runsignup.com/support/solutions/articles/17000062915-defer-registration-claim-deferral