Register For
Deacon Chuck Dietsch Memorial 5K Run & Walk for Haiti

Southbury, CT 06488

Registrant #1

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Format: mm/dd/yyyy
Used for age group calculations
Format: ###-###-####

Choose Your Run & Walk for Haiti *

$25.00 + $2.50 SignUp Fee

$20.00 + $2.20 SignUp Fee

$10.00 + $1.60 SignUp Fee




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