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Event Registration Form

All fields marked with * are required.
Event Dates* (Please enter up to 10 dates for when this event will occur.) :
Date 1: Date 6:
Date 2: Date 7:
Date 3: Date 8:
Date 4: Date 9:
Date 5: Date 10:
Event Name*:
Event Distance(s)*:
1 Mile 1K
2 Mile 2K
3 Mile 3K
4 Mile 4K
5 Mile 5K
6 Mile 6K
7 Mile 7K
8 Mile 8K
9 Mile 9K
10 Mile 10K
15K Half Marathon (13.1 Mile)
Marathon (26.2 Mile) Small Kids
2-block Half Mile
Other
Other 2
Other 3
Other 4
Other 5
Other 6
Other 7
Other 8
Other 9
Other 10
T-Shirt Availability*: Yes   No
Additional Cost:

This amount will be added to the base cost of the event if a Registrant chooses to order a tshirt.
Reduction Cost:

This amount will be reduced from the base cost of the event if a Registrant chooses not to order a tshirt.
Late Fee Cost*:
Are there any Event details?*
Event Contact Person*:
Event Contact Phone*: ( ) -
Event Contact Email:
Event Contact Website:
Event Location*:

Select from drop down menu OR enter a new location

Other:
Location Title*:
Street Address*:
City*:
State*:
Zip Code*:
Start Time*: :
End Time: :
Request Information about ORC's Online Entry and Payment Service* Yes No
Attach Event Flier: