12th Annual Chocolate Run 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(s) *

Fun Run/Walk

$10.00 + $3.00 SignUp Fee

(Group Pricing)

5K Run/Walk

$30.00 + $3.50 SignUp Fee

(Group Pricing)

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

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12th Annual Chocolate Run 5K

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Registrant #1

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Bronze Sponsor Pricing

Teams of 10 Members or More Pricing

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Registrant #1

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Choose Your Event(s) *

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

Gold Sponsor Pricing

Silver Sponsor Pricing

Bronze Sponsor Pricing

Teams of 10 Members or More Pricing

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