Color Me Belmar 3K Run for FRA Registration

INFORMATION

First Name

Last Name

Address

City

State

Zip Code

Phone Number

Email Address

Organization

REGISTRATION

POSSABILITIES WALK Individual Registrants @ $15. each

children under 2 free

POSSABILITIES WALK Family of 4 Registrant @ $50

children under 2 free

COLOR RUN Individual Registrant @ $35 ea BEFORE 5/1

children under 2 free

COLOR RUN Individual Child under 10 yrs @ $15 BEFORE 5/1

children under 2 free

JUNIOR 500-YARD DASH Individual Registrant @ $10 ea BEFORE 5/1

children under 2 free

Adult T Shirt (1 per registrant)

Adult Small

Adult Medium

Adult Large

Adult XL

Adult XXL

Child T Shirt (1 per registrant)

Child Small

Child Medium

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Child Large

Disclaimer-Please Check that you've read and agree to Disclaimer

I understand that walking/running in races is potentially hazardous.I should not enter & run/walk in the FRA’s Color Me Belmar 3K & PossAbilities Walk unless I am medically able and properly trained. I assume every risk associated with participating in this event including, but not limited to, falls, contact with event participants or volunteers or with vehicles, effects of the weather, & course conditions, all such risks being known by me. I authorize FRA’s Color Me Belmar 3K & PossAbilities Walk officials to utilize my participation in any photographs or videotapes for any & all purposes.

Sponsorships

SPONSORSHIPS

Sponsorship Name/Company or Message

DONATION ONLY

Please click "send" to enter the credit card holder's information (even if the same as above)

Your total payment will be

Walk/Run/Golf Registration Links

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