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Garden State Plaza 5K & 1M
Sunday November 12, 2017
8:45 a.m. - 5K, 9:30 a.m. - 1M
Garden State Plaza Mall
Paramus, NJ
Please select from the following categories:
 5K   $28.00 
 1M   $18.00 
 5K USATF-NJ Member  Must provide 2017 USATF-NJ # for discount and Grand Prix points. $25.00 
 5K & 1M combo  One participant in both events, includes 1 shirt. $38.00 

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 Dri-fit t-Shirt size:
   YM  YL  XL  XXL 
2017 USATF-NJ # (to receive discount and Grand Prix points)
Yavneh Academy students: enter your grade here.
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