DLM Good Neighbor 5k Online Registration

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Ages	Fee
12 and under	$10.00

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 *

Early Bird Pricing through May 10

5k Run

$20.00 + $2.45 SignUp Fee

(Group Pricing)

Waiver

RELEASE OF LIABILITY. PLEASE READ BEFORE SIGNING: In consideration of the acceptance of my entry, I hereby waive, for myself,
any executors, administrators and assignees, all claims of any nature arising from my participation in the DLM Good Neighbor 5K
Run/Walk, and do thereby release Dorothy Lane Market, Up and Running, all sponsors, workers, officials, and volunteers from any
claim whatsoever arising from any participation in this event. I attest and verify that I am physically fit and understand the risks for
this event and have trained adequately in preparation.

By checking this box, I agree to the waiver and that I am 18 or older, or that I have the authority to register these participants and agree to the waiver for them, and agree to the Privacy Policy.

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DLM Good Neighbor 5k

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Age Based Pricing for 5k Run

Registrant #1

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Waiver

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Age Based Pricing for 5k Run

Registrant #1

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Choose Your Event *

Waiver

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