Miller Park Zoo Stampede 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

Phone *

Valid formats include: 000-000-0000 or 0000000000

Street Address *

Country *

Zip Code *

City *

State *

Choose Your Event(s) *

$45.00 $35.00 + $4.16 SignUp Fee

(Group Pricing)

3K Walk (Not Timed)

$45.00 $35.00 + $4.16 SignUp Fee

(Group Pricing)

Kids 1/4 Mile Fun Run

Open to ages 10 and under.

$15.00 + $1.90 SignUp Fee

(Group Pricing)

Would you like to join the following club: Lake Run Club?

As a club member, you will receive a $2.00 discount on event fees.

I want to join club “Lake Run Club”.

Would you like to join or create a Group/Team?

Yes No

Waiver

Upon accepting my application and in consideration of allowing me to enter this event, which I agree is at my own risk and entirely of my own free will I hereby for myself and on behalf of my heirs, executors, administrators, and assigns, waive, release, and discharge City of Bloomington, Miller Park Zoo, Lake Run Club, race organizers, race volunteers, sponsors, and promoters from any responsibility or liability whatsoever for any losses, injury, or other damage sustained in any activities during or surrounding the event.

By checking this box, I agree to the waiver and that I am 18 or older, or that I have the authority to register these participants and agree to the waiver for them, and agree to the Privacy Policy.

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Miller Park Zoo Stampede

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Registrant #1

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Choose Your Event(s) *

Would you like to join the following club: Lake Run Club?

Would you like to join or create a Group/Team?

Waiver

Stampede Teams Pricing

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Registrant #1

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Choose Your Event(s) *

Would you like to join the following club: Lake Run Club?

Would you like to join or create a Group/Team?

Waiver

Stampede Teams Pricing

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Not a user yet?

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