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Patriots' 5K/8K Race
Saturday June 22, 2013
9 a.m.
Brookside Community Club
Mendham Twp. , NJ
Please select from the following categories:
 5K Run   $25.00 
 8K Run   $25.00 
 Kids' Fun Run   $10.00 
 5K - USATF-NJ  Must be a valid 2013 USATF-NJ member to receive discount. $22.00 
 8K - USATF-NJ  Must be a valid 2013 USATF-NJ member to receive discount. $22.00 
 5K Walker   $25.00 

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:
   YM  YL  XL  XXL 
2013 USATF-NJ membership # (for discount and Grand Prix)
Cancel this registration Save this registration and start another Process this registration
 

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