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Registrant #1

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Basic Info

Parent/Guardian First Name *

Parent/Guardian Last Name *

First Name *

Last Name *

Email Address *

Confirm Email *

Password *

To be able to access / edit your registration.

Confirm Password *

Additional Information

Date of Birth

Format: mm/dd/yyyy

Used for age group calculations

Gender * Male Female
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Phone

Format: ###-###-####

Address

Street Address *

Country *

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City *

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In Person 5K

$10.00 + $1.60 SignUp Fee

(Group Pricing)

In Person One Mile Fun Run/Walk

$10.00 + $1.60 SignUp Fee

(Group Pricing)

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Waiver

In consideration of you accepting this entry, I, the participant, intending to be legally bound and hereby waive or release any and all right and claims for damages or injuries that I may have against the Event Director, RunSignUp.com, and all of their agents assisting with the event, sponsors and their representatives and employees for any and all injuries to me or my personal property. This release includes all injuries and/or damages suffered by me before, during or after the event. I recognize, intend and understand that this release is binding on my heirs, executors, administrators, or assignees.

I certify as a material condition to my being permitted to enter this race that I am physically fit and sufficiently trained for the completion of this event and that my physical condition has been verified by a licensed Medical Doctor. By submitting this entry, I acknowledge (or a parent or adult guardian for all children under 18 years) having read and agreed to the above waiver.

By checking this box, I agree to the waiver and that I am 18 or older, or that I have the authority to register these participants and agree to the waiver for them, and agree to the Privacy Policy.

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Group Pricing

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Moorestown Turkey Trot

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Registrant #1

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Who are you registering? *

Basic Info

Additional Information

Address

Choose Your Event(s) *

Would you like to join or create a Group/Team?

Waiver

Group Pricing

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