Name
*
First Name
Last Name
Email
*
example@example.com
Phone
*
Format: (000) 000-0000.
T-Shirt size (YS, YM, YL, AS, AM, AL, XL, XXL)
*
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Will you run the 5k or 1 mile option?
*
5k
1 mile
Participant Type
prev
next
( X )
Early Bird Student
$
10.00
Early Bird Adult
$
20.00
Early Bird Family 4 pack
$
45.00
Early Bird Family Pack Additional Child
$
5.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
I understand that participation involves physical activity, and I assume all risks. I release Rose Hill High School and event organizers from liability
*
Continue
Continue
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