Choose Wave: * 5K Run 5K Walk Name: * E-mail Address: * Address: * City: * State: * Zip: * Phone: Age On Race Day: * Choose T-Shirt Size: * S M L XL By Checking This Box, You Agree To The Terms And Conditions Set Forth In The Release Waiver * How Will You Be Paying Your Entry Fee? * Online via PayPal - Single Entry Online via PayPal - Multiple Entries Cash or Check via Mail - Single Entry Cash or Check via Mail - Multiple Entries * Required

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