Event Information

Please use the below form to register for the Team Luke Hope for Minds 5k Fun Run. We kindly ask that you enter the name of each participant you are registering in the respective fields below and also that you enter a shirt size for each participant in the text box at the bottom. Shirt sizes include: Youth Large, Adult Small, Adult Medium, Adult Large, Adult X-Large, Adult XX-Large.

Quantity
Price
Total
5K Registration
X
$
30.00=
$
0
Name of Participant 1*
Name of Participant 2
Name of Participant 3
Name of Participant 4
Name of Participant 5
Shirt Size*

Contact Information

Country*
State / Province*
Address*
City*
*
*
*
*
*
*
Email*
Confirm Email*
Phone*

Payment Information

Amount*
$
Name on Card*
Card Number*

Security Code

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