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2023 Bee Amazing 5k Registration Form
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Price Schedule
Through
05/14/2023
Final
5k Competitive Runner
$35
$40
5k Recreational Runner
$30
$35
Categories
*
5k Competitive Runner
- $40.00
5k Recreational Runner
- $35.00
Participant Information
Participant Email
*
Participant First Name
*
Participant Last Name
*
Participant Birthdate
*
- month -
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- year -
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Participant Gender
*
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Female
Country
*
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Street Address (w/Apt#)
*
City
*
State
*
-- select state --
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-- select state --
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Col.
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virgin Islands
Vermont
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Washington
West Virginia
Wisconsin
Wyoming
-- select province --
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British Columbia
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New Brunswick
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Northwest Territories
Nova Scotia
Nunavut
Ontario
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Yukon
Zip Code
*
Phone
*
Would you like to
receive important event text alerts
on this number (eg. changes or delays)?
Emergency Contact Name
*
Emergency Phone
*
How did you hear about us?
*
Friends and Family
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Other
Are you a Girls on the Run Running Buddy?
*
Yes
No
Name of your running buddy?
*
Please enter last name, first name
Make a Donation
Girls on the Run
click here
, to learn more about this cause
Amount $
Waiver
*
I, for myself or as parent or guardian, hereby assume all the risks and hazards incidental to the conduct of the activities. I understand that no insurance coverage is provided by the race coordinators and sponsors. I further give permission for proper emergency care to be rendered to myself or child should I not be available or able to give such permission. I know that running a road race is a potentially hazardous activity. I should not enter and run unless I am medically able and properly trained. I agreed to abide by any decision of a race official relative to my ability to safely complete the run. Having read this release and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act in my behalf or on behalf on my estate, waive and release David Wood, Karl Lyon, Peak of Running, LLC,, RTP Foundation/The Frontier, Oxford Properties Group, Girls on the Run of the Triangle, Inc., and all sponsors of the race, any other persons assisting with the race, from all claims or liabilities of any kind arising out of my participation in the race even though the liability may arise out of negligence or carelessness on the part of the persons referred to in this waiver.
Read through the agreement
I have read and agreed to the TERMS
*
Is the participant 18 or older?
*
18 or older
Under 18
Parent or Legal Guardian’s Signature - By providing your electronic signature you agree that you have the authority to register these participants and agree to the waiver(s) for them as their parent or legal guardian.
If registering a child under 18, you are consenting to the collection of the child's information that you are providing for the purposes of registration.
Parent's signature
Payment Details
Discount or Tracking Code
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Do not COPY & PASTE the code, please type it into this field.
Price
$
Discount (-)
$
Total
no handling
$
Handling
$
Donation
$
Total Owed
$
Payment Method
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Visa/Mastercard
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Postal Code
Exp. Date
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CVV Code
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Address:
click the "pay now" button to submit your order then send a check to (or pay in person at) the address above.
1. Venmo the total amount to the Phone #:
2. Make sure you enter the code,
55774
in "What's it for".
3. Click the "pay now" button.
Enter a Check Number
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