33rd Annual 5K for Health 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

Non-Binary Prefer Not to Say

Phone *

Valid formats include: 000-000-0000 or 0000000000

Street Address *

Country *

Zip Code *

City *

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Support Cass County Dental Clinic!

33rd Annual 5K for Health (Untimed)

$40.00 + $3.40 SignUp Fee

(Group Pricing)

Select this registration option if you DO NOT want to receive a race bib and have your time officially recorded for the 5K.

33rd Annual 5K for Health (Timed)

$40.00 + $3.40 SignUp Fee

(Group Pricing)

Select this registration option if you DO want to receive a race bib and have your time officially recorded for the 5K.

Note: If your employer is reimbursing your registration fee, check whether they require a race bib and official finish time for reimbursement.