Online Pre-Registration
5K Team Pre-Registration
Team Name
*
Running/Walking
*
Running
Walking
Type of Team
*
----
Community Team
UCR Student Organization
UCR Dept./Staff
Team Members- Team must consist of 5 Individuals
Member 1
First Name
*
Last Name*
Telephone
E-mail*
Age
*
Gender*
----
Female
Male
T-Shirt Size
*
----
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
Adult 3XL
Member 2
First Name
*
Last Name*
Telephone
E-mail*
Age
*
Gender*
----
Female
Male
T-Shirt Size
*
----
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
Adult 3XL
Member 3
First Name
*
Last Name*
Telephone
E-mail*
Age
*
Gender*
----
Female
Male
T-Shirt Size
*
----
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
Adult 3XL
Member 4
First Name
*
Last Name*
Telephone
E-mail*
Age
*
Gender*
----
Female
Male
T-Shirt Size
*
----
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
Adult 3XL
Member 5
First Name
*
Last Name*
Telephone
E-mail*
Age
*
Gender*
----
Female
Male
T-Shirt Size
*
----
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
Adult 3XL
Registration Fees
*
$125 (Submitted by Nov. 13, 2011)
The Team will commit to soliciting $200 or more in pledges
Discount Code
* Team Registration fee will be waived for teams with $200 or more in pledges. Sponsor forms and all pre-paid pledges must be submitted by Monday, November 14, 2011. Race Day 5K Team Registration is $150. All registered participants will recieve official t-shirt and goodie bag.
** All participants are required to sign a Waiver of Liability, Assumption of Risk, and Indemnity Agreement. This will be available at the Check-In/Registration booths on Race Day.
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