Name *

First Name

Last Name

Phone *

(###)

###

####

Type of Race *

Select One

5k Run

5k Walk

1 Mile Fun Run

Type of Shirt *

Standard Cotton T-Shirt

Women's Cotton Tank

Age Category *

Please select the category based on your age come race day

12 & Under

13-18

19-30

31-40

41-50

51-60

61 & Up