Contact Information

Age on Race Day*
Country*
Email for Receipt*
Confirm Email*
Phone*

Entry Type

Please enter a 1 next to your entry type. You must fill out this form again for each additional entry; do not combine multiple entries on to one form.

Quantity
Price
Total
Adult 5K Run/Walk
X
$
32.00=
$
0

Student through 12th grade
X
$
16.00=
$
0

Final Total:
$
0
Cash for Classrooms Team

Payment Information

Amount*
$
Payment Type
We only accept credit/debit card payments. After you complete this form, select Submit to enter your card details into our secure transaction processor. Your submission will be processed when you finalize your secure payment information.
Additional Comments
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