Freedom Run for Epilepsy Awareness Online Registration

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 *

Valid formats include: 000-000-0000 or 0000000000

Street Address *

Country *

Zip Code *

City *

State *

Choose Your Event *

5K - Adult - Timed Run

$50.00 + $4.00 SignUp Fee

— RACE TEAM Pricing May Apply (Group Pricing)

5K - Youth (ages 10-17) - Timed Run

$15.00 + $1.90 SignUp Fee

— RACE TEAM Pricing May Apply (Group Pricing)

10K - Adult - Timed Run

$50.00 + $4.00 SignUp Fee

— RACE TEAM Pricing May Apply (Group Pricing)

10K - Youth (ages 10-17) - Timed Run

$15.00 + $1.90 SignUp Fee

— RACE TEAM Pricing May Apply (Group Pricing)

1- Mile Freedom to Walk, Run, Stroll, Jog, Skip, etc.

$0.00

(Group Pricing)

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Freedom Run for Epilepsy Awareness

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Registrant #1

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Choose Your Event *

Would you like to join or create a RACE TEAM?

Race Team Pricing

Student Pricing