Lafayette Res Run for Education Online Registration

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Registrant #1

Who are you registering? *

First Name *

Last Name *

Email Address *

Confirm Email *

Create Password *

This will be the password for your RunSignup account.

Confirm Password *

Date of Birth *

Format: mm/dd/yyyy

Used for age group calculations

Gender *

Male Female

Phone *

Format: ###-###-####

Street Address *

Country *

Zip Code *

City *

State *

Choose Your Event *

$45.00 $30.00 + Credit card convenience fee

(Group Pricing)

10K Run

$50.00 $30.00 + Credit card convenience fee

(Group Pricing)

2 Mile

$40.00 $30.00 + Credit card convenience fee

(Group Pricing)

Reservoir Challenge

$30.00 + Credit card convenience fee

(Group Pricing)

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Lafayette Res Run for Education

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