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3rd Annual Project Graduation 5k Run/Walk
Sunday April 28, 2013
9:00
Roselle Park High School Football Field
Roselle Park, NJ
Please select from the following categories:
 Project Graduation 5k Run/walk  This is to benifit the senior class and help them stay safe on graduation night! $25.00 
 Student/Staff  This category is for students and staff of Roselle Park Schools. $20.00 

Please provide the following information on the participant. Required fields are denoted by an asterisk *.
*First Name *Last Name
*Gender
*Birth Date

MM

DD

YYYY
 
*Address
 Address
*City *State
*Zip  County
*Country
*Phone
*E-mail
  A registration confirmation will be sent to this e-mail address

 Waiver
* I have read the above waiver and agree to terms

*Please choose your T-Shirt size:
   XL 
Please provide your grade/school or school in which you are employed if you are claiming the student/staff registration rate of $20.00.
Cancel this registration Save this registration and start another Process this registration
 

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