Halifax Health - Hospice 5K Run and Walk Online Registration

Registrant #1

Who are you registering? *

First Name *

Last Name *

Email Address *

Confirm Email *

Create Password *

This will be the password for your BikeSignup account.

Confirm Password *

Date of Birth *

Format: mm/dd/yyyy

Used for age group calculations

Gender *

Male Female

Phone *

Format: ###-###-####

Street Address *

Country *

Zip Code *

City *

State *

Choose Your Event(s) *

In-Person Event

5K Run and Walk

$35.00 + $4.03 SignUp Fee

(Group Pricing)

In-Person Event

Employee Entry 5K Run and Walk

$30.00 + $3.74 SignUp Fee

(Group Pricing)

Support the Cause

Non-Runner Supporter (receives shirt)

$35.00 + $4.03 SignUp Fee

(Group Pricing)

Support the Cause

Employee Entry Non-Runner Supporter (receives shirt)

$30.00 + $3.74 SignUp Fee

(Group Pricing)

Virtual Only Event

Virtual 5K Run and Walk

$35.00 + $4.03 SignUp Fee

(Group Pricing)

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Halifax Health - Hospice 5K Run and Walk

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