Women's Refuge Love 5k 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 *

Valid formats include: 000-000-0000 or 0000000000

Street Address *

Country *

Zip Code *

City *

State *

Choose Your Event *

Individual 5K

$35.00 + $3.10 SignUp Fee

(Group Pricing)

Child pricing 12 + under $25

RUN WITH YOUR SWEETIE!

Sweetheart Team

Race includes: Individual 5K

$50.00 + $4.00 SignUp Fee

(Group Pricing)

Includes 2 entries, t-shirts, sweetheart sign, and swag bags. *T-shirts guaranteed until January 20th. Each team member must register separately using the Couples Sweetheart's Team Event button and reference the name of your teammate when registering.

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Women's Refuge Love 5k

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Registrant #1

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Choose Your Event *

Team Pricing

Couples Sweetheart Division Pricing

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Registrant #1

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Choose Your Event *

Team Pricing

Couples Sweetheart Division Pricing

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