Event 03/07/2020 @ 8:30am Mission Outreach 5K Run/Walk 5K, 1 Mile Run Raleigh, NC Toggle navigation Register Sponsors Participants Results Overview Overview Location Register My Fundraising Tools Donate Am I already registered? SIGN IN Registration for Mission Outreach 5K Run/Walk The form is loading. Form is loading... Price Schedule Through02/24/2020 Final 5K - Timed $25 $30 WA - 5K with no official times $25 $30 Mile $15 Categories* 5K - Timed - $25.00 WA - 5K with no official times - $25.00 Mile - $15.00 Participant Information Email * Participant First Name * Participant Last Name * Participant Birthdate * - month - Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec - day - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 - year - 2026 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 Participant Gender * Male Female Country Address * United States Canada Mexico International Street Address * City * State * -- select state -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Col. Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virgin Islands Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code * Phone * Would you like to receive important event text alerts on this number (eg. changes or delays)? Emergency Contact Name * Emergency Phone * Fundraising Team * new fundraising team - select a fundraising team - #2918 - Hoffmann Family (captain Shauna Hoffmann) I am not on a fundraising team Would you like to order a t-shirt? -- select one -- YS - Youth Small - $8.00 YM - Youth Medium - $8.00 YL - Youth Large - $8.00 AS - Adult Small - $8.00 AM - Adult Medium - $8.00 AL - Adult Large - $8.00 AX - Adult X-Large - $8.00 2X - Adult XX-Large - $8.00 3X - Adult XXX-Large - $8.00 Make a Donation Wake Christain Aacdemy Donation $ Waiver I have read and agreed to the waiver* Is the participant 18 or older?* 18 or older Under 18 Parent or Legal Guardian’s Signature - By providing your electronic signature you agree that you have the authority to register these participants and agree to the waiver(s) for them as their parent or legal guardian. If registering a child under 18, you are consenting to the collection of the child's information that you are providing for the purposes of registration. Parent's signature Payment Summary Discount, Tracking, or Charity Code Apply Price $ Discount (-) $ Donation $ Totalno handling $ Handling $ Total $ Payment Information The payment and credit card section is not visible because there is nothing owed or form fields have not been fully completed. Visa/Mastercard Cardholder First Name Cardholder Last Name Cardholder Address Cardholder Country United States Argentina Australia Brazil Bermuda Canada Columbia Costa Rica France Germany Japan Ireland Italy Mexico Netherlands Norway Puerto Rico Singapore Spain Sweden Trinidad and Tobago United Kingdom City, State, Zipcode AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VI VT VA WA WV WI WY Credit Card # Exp. Date MM 01 02 03 04 05 06 07 08 09 10 11 12 / YY 19 20 21 22 23 24 25 26 27 28 29 CVV Code Your payment is encrypted and 100% secure. Payable To: Address: click the "pay now" button to submit your order then send a check (or pay in person) at the address above. 1. Venmo the total amount to the Phone #: 2. Make sure you enter the code, 40438 in "What's it for". 3. Click the "pay now" button. Enter a Check Number Enter a Check Amount Do you want to send email receipt to the participant Purchase Purchase Cancel SPONSORS RoadId Just a moment...
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