RUCK Cancer 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 *

Format: ###-###-####

Street Address *

Country *

Zip Code *

City *

State *

Choose Your Event *

5K Ruck

$40.00 + $5.30 SignUp Fee

(Group Pricing)

5K Run

$40.00 + $5.30 SignUp Fee

(Group Pricing)

5 Mile Ruck

$55.00 + $6.31 SignUp Fee

(Group Pricing)

5 Mile Run

$55.00 + $6.31 SignUp Fee

(Group Pricing)

5K (or) 5 Miles - RUCK (or) Run (SHIPPING INCLUDED)

Virtual RUCK (or) Run Your Way

$40.00 + $5.30 SignUp Fee

(Group Pricing)

Pick your distance and pick RUCK (or) Run
Price includes shipping

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RUCK Cancer

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