Grand Slamrock 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 *

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Phone *

Valid formats include: 000-000-0000 or 0000000000

Street Address *

Country *

Zip Code *

City *

State *

Choose Your Event *

Grand Slamrock 5K

Open to ages 6+.

$32.00 + $3.76 SignUp Fee

(Group Pricing)

Ages 12 & Under

Strike It Lucky 1 Mile

Open to ages 4 - 12.

$20.00 + $2.95 SignUp Fee

(Group Pricing)

Ages 6 & Under

Leprechaun Chase 1/2 Mile

Open to ages 1 - 6.

$20.00 + $2.95 SignUp Fee

(Group Pricing)

Would you like to join or create a Group/Team?

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Grand Slamrock

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Registrant #1

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Registrant #1

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