Run for Life 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 *

10K Run

$35.00

(Group Pricing)

5K Run

$30.00

(Group Pricing)

1-Mile Family Fun Walk

$15.00

(Group Pricing)

Would you like to join or create a Diabetes Run For Life Team?

Yes No

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Run for Life

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Registrant #1

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Choose Your Event *

Would you like to join or create a Diabetes Run For Life Team?

School Team Pricing

Business Team Pricing

Family & Friends Team Pricing

Other Pricing

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Reset Password

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Registrant #1

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Choose Your Event *

Would you like to join or create a Diabetes Run For Life Team?

School Team Pricing

Business Team Pricing

Family & Friends Team Pricing

Other Pricing

Sign In / SignUp

Reset Password

Your reset password email has been sent!

Not a user yet?

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