10th Annual Live Like Jake 5k Online Registration

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Registrant #1

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First Name *

Last Name *

Email Address *

Confirm Email *

Create Password *

This will be the password for your RunSignup account.

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Date of Birth *

Format: mm/dd/yyyy

Used for age group calculations

Gender *

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Phone *

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Street Address *

Country *

Zip Code *

City *

State *

Choose Your Event *

5K Run/Walk (In-Person Only)

Race includes: 5k Run/Walk - First Responder, Swim Instructor and Military (In-Person Only)

$50.00 + $4.50 SignUp Fee

(Group Pricing)

5k Run/Walk - First Responder, Swim Instructor and Military (In-Person Only)

Race includes: 5K Run/Walk (In-Person Only)

Open to ages 18 - 110.

$50.00 + $4.50 SignUp Fee

(Group Pricing)

Sleep In

$30.00 + $3.30 SignUp Fee

(Group Pricing)

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10th Annual Live Like Jake 5k

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Registrant #1

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Registrant #1

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