5K Grow & Go + Kids Race Registration

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* denotes required field

Participant's Name*
First Name
Last Name
Parent's Name (If Registering for a Minor)
First Name
Last Name
Who to notify in case of emergency*
Name
Phone #
Email address (If minor, use parent's email)*
I am registering for*
Adult Shirt Size
Youth 5K Shirt Size
Children Shirt Size (for Kids Race Only)
Age*
Birthdate (mm/dd/yyyy)*
Gender*
How did you learn about this event?*
*
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Call:

309.557.2230

Email:

bbeisiegel@ilfb.org

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