AXA XL Man on the Run 5K Online Registration

Ages	Fee
11 - 19	$15.00

Ages	Fee
19 and under	$15.00

Ages	Fee
19 and under	$15.00

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

Non-Binary Prefer Not to Say

Phone *

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

Street Address *

Country *

Zip Code *

City *

State *

Choose Your Event *

5K Run

Open to ages 10 - 100.

$35.00 + $4.13 SignUp Fee

($15: Ages 11 - 19)

(Group Pricing)

Ages 7-10 2.2K

Junior (7-10) 2.2K Run

Open to ages 7 - 10.

$15.00 + $3.00 SignUp Fee

(Group Pricing)

Competitive Walk

Competitive Walk

Open to ages 10 - 100.

$35.00 + $4.13 SignUp Fee

($15: Ages 0 - 19)

(Group Pricing)

Non-Competitive Walk/Run

Non Competitive Walk

Open to ages 100 and under.

$35.00 + $4.13 SignUp Fee

($15: Ages 0 - 19)

(Group Pricing)

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AXA XL Man on the Run 5K

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Age Based Pricing for 5K Run

Age Based Pricing for Competitive Walk

Age Based Pricing for Non Competitive Walk

Registrant #1

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School Team Pricing

Corporate Team Pricing

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Age Based Pricing for 5K Run

Age Based Pricing for Competitive Walk

Age Based Pricing for Non Competitive Walk

Registrant #1

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Choose Your Event *

School Team Pricing

Corporate Team Pricing

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