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Abington Area Benefit Race

 
 
 

Secure Registration Provided by RunWalkJog.com

 

 

   

Saturday, June 4, 2005

Clarks Summit, PA
   
 

Website : www.freewebs.com/abingtonareabenefitrace
Email : majorj2@scranton.edu  

   
 

The registration will be from 7:00 am to 8:15 am at the Clarks Summit Post Office on State Street in Clarks Summit. Pre-registration will be from now until June 2nd. The cost will be $12.00 for pre-registration and $15.00 for race day registration.

 

  
 

 
  Please Enter Participants Information and click below to proceed to a secure billing page.  To register more than one participant select "Continue Shopping" after adding to Shopping Cart.  Please notify garydsmith@runwalkjog.com if you experience problems with registration.
  There will be a $1.00 processing fee added to online registrations.  

Abington Area Benefit Race  

                First Name:  

                Last Name:  

                     Address:  

                            City:  

                          State:  

                     Country:  

                             Zip:  

                        Phone:  

                         Email:  

                       Gender:


     Age on Race Day:      

I hereby have trained for this event. I know that participating in this event is dangerous. Therefore, I will not hold the Abington Area Benefit Race Committee and their sponsors liable for any injuries occurred during the participating in this event. A parent or legal guardian must sign this waiver if the person is under 18 years old.

                       Waiver:
 

Electronic Signature:  

                         Date:  

 Guardian Signature:


 

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