Caboose on the Loose Online Registration

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Ages	Fee
11 - 17	$25.00
18+	$30.00

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 *

Kids Run

Open to ages 10 and under.

$10.00 + $1.60 SignUp Fee

(Group Pricing)

5K Run/Walk

Open to ages 11+.

$30.00 + $2.80 SignUp Fee

($25: Ages 11 - 17)

($30: Ages 18+)

(Group Pricing)

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Caboose on the Loose

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Age Based Pricing for 5K Run/Walk

Registrant #1

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Age Based Pricing for 5K Run/Walk

Registrant #1

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