4th Annual Shore to Shorecrest 5K presented by Dermaclinique: Dr. Priya Nayyar, M.D. Online Registration

Registrant #1

Who are you registering? *

First Name *

Last Name *

Email Address *

Confirm Email *

Create Password *

Must meet two of the following requirements: Must meet three of the following requirements:

Requirements Met

Confirm Password *

Passwords Match

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 *

5K Run/Walk

Open to ages 3+.

$35.00 + $3.28 SignUp Fee

(Group Pricing)

Sparky Sprint

Open to ages 1 - 8.

$10.00 + $1.65 SignUp Fee

(Group Pricing)

Sparky Sprint does NOT include entry to the 5k walk/run and does NOT include an event t-shirt.

5K Students ONLY

Open to ages 18 and under.

$25.00 + $2.63 SignUp Fee

(Group Pricing)

5K Virtual

$20.00 + $2.30 SignUp Fee

(Group Pricing)