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August 2015
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RACE ONLINE REGISTRATION

1. You can register up to five individuals at a time. Be sure to include a valid e-mail address so that we can get in touch with you about any important changes to the event.

2. After you complete this form, click the submit button at the bottom of the page. You will be taken to the secure HelpHOPELive payment page to complete your registration. Your entry fee will go directly to the Northeast Spinal Cord Injury Fund in Honor of David Hudgik. Thank you!

3. Check-in is between 8 and 9 AM on the morning of the run. There will be a "Pre-Registered Only" area so that your check-in will be quick and easy. You won't have to fill in any paperwork. Just sign your waiver* (we'll have one already filled in for you) and pick up your race packet.

* Participants under the age of 18 must have their waiver form signed by a parent or guardian. Click here to print a waiver form.

If you have any trouble with this form, just email Kristen at khudgik@hhl5k.org and she will get you registered right away.

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REGISTRANT #1

First Name:   Last Name:

E-mail Address:   Phone:

City:   State:

Date of Birth:   (Used for age group calculations.)

Gender:   Male   Female

Tee Shirt Size:   Small   Medium   Large   Extra Large


REGISTRANT #2

First Name:   Last Name:

E-mail Address:   Phone:

City:   State:

Date of Birth:   (Used for age group calculations.)

Gender:   Male   Female

Tee Shirt Size:   Small   Medium   Large   Extra Large


REGISTRANT #3

First Name:   Last Name:

E-mail Address:   Phone:

City:   State:

Date of Birth:   (Used for age group calculations.)

Gender:   Male   Female

Tee Shirt Size:   Small   Medium   Large   Extra Large


REGISTRANT #4

First Name:   Last Name:

E-mail Address:   Phone:

City:   State:

Date of Birth:   (Used for age group calculations.)

Gender:   Male   Female

Tee Shirt Size:   Small   Medium   Large   Extra Large


REGISTRANT #5

First Name:   Last Name:

E-mail Address:   Phone:

City:   State:

Date of Birth:   (Used for age group calculations.)

Gender:   Male   Female

Tee Shirt Size:   Small   Medium   Large   Extra Large



  


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Click SUBMIT when you have completed your form. You will be taken to the secure online payment page to complete your registration(s).

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