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Register - Participant for Team Team Charzit
Please select a ticket option in order to continue the registration process.
.
Full Marathon:
$50.00
42k
Half Marathon:
$35.00
12k
10k:
$35.00
Participant First Name:
*
Participant Last Name:
*
Participant Email:
*
Confirm Email:
*
By registering as a participant and providing your email address, you are agreeing to receive important participant event updates via email.
User Name:
*
A user name and password must be entered in order to be able to access and update your personal fundraising page.
Enter a unique user name for each participant of the event. No spaces allowed.
(i.e. first and last name: janedoe or first initial and last name jdoe)
Password:
*
Minimum 6 characters. At least one letter and one number.
Only enter letters, numbers, periods, hyphens or exclamation marks.
Confirm Password:
*
I would like to set a goal of:
*
$250 - Sponsor a day trip for special needs youth
$500 - Underwrite an iPAD for the iPAD lab
$1000 - Concert Series for autistic children
$2500 - Underwrite iPad Lab (Five iPads with apps)
In addition to registering, I would like to make a donation in the amount of:
$
.00
Preferred Name (nickname or name you prefer to be called even if it's the same as your Legal Name):
*
Shirt Size?:
*
Small
Medium
Large
X-Large
Birth Date:
*
(mm/dd/yyyy)
How did you hear about the Cameri Run?:
I previously ran Cameri Run
From a Friend
Advertisement
Programming
Other
Gender:
*
Male
Female
Member Status:
*
Member
Non-Member
USATF Number (For NBGP only):
Waiver and Release
RELEASE FORM: In consideration of this entry being accepted, I hereby for myself, heirs, executors, and administrators, waive and release any claim I may have against the Cameri Youth Services, its officers and directors, the organizing committee, the sponsoring organizations, the county or their representatives, successors, or assignees for any injury that may be suffered by me at or in this event.:
*
I have carefully read this Waiver and fully understand its contents. I am aware that by accepting this Waiver, I am waiving legal rights and knowing this, I accept it of my own free will.
Preferred Name (nickname or name you prefer to be called even if it's the same as your Legal Name):
*
Shirt Size?:
*
Small
Medium
Large
X-Large
Birth Date:
*
(mm/dd/yyyy)
How did you hear about the Cameri Run?:
I previously ran Cameri Run
From a Friend
Advertisement
Programming
Other
Gender:
*
Male
Female
Member Status:
*
Member
Non-Member
USATF Number (For NBGP only):
Waiver and Release
RELEASE FORM: In consideration of this entry being accepted, I hereby for myself, heirs, executors, and administrators, waive and release any claim I may have against the Cameri Youth Services, its officers and directors, the organizing committee, the sponsoring organizations, the county or their representatives, successors, or assignees for any injury that may be suffered by me at or in this event.:
*
I have carefully read this Waiver and fully understand its contents. I am aware that by accepting this Waiver, I am waiving legal rights and knowing this, I accept it of my own free will.
Preferred Name (nickname or name you prefer to be called even if it's the same as your Legal Name):
*
Shirt Size?:
*
Small
Medium
Large
X-Large
Birth Date:
*
(mm/dd/yyyy)
How did you hear about the Cameri Run?:
I previously ran Cameri Run
From a Friend
Advertisement
Programming
Other
Gender:
*
Male
Female
Member Status:
*
Member
Non-Member
USATF Number (For NBGP only):
Waiver and Release
RELEASE FORM: In consideration of this entry being accepted, I hereby for myself, heirs, executors, and administrators, waive and release any claim I may have against the Cameri Youth Services, its officers and directors, the organizing committee, the sponsoring organizations, the county or their representatives, successors, or assignees for any injury that may be suffered by me at or in this event.:
*
I have carefully read this Waiver and fully understand its contents. I am aware that by accepting this Waiver, I am waiving legal rights and knowing this, I accept it of my own free will.
cancel registration
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