The Shul 5K Race - The Shul

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The Shul Annual 5K Registration

Title

* First Name

* Last Name

* Street Address

* City

* State

* Zip

* Home Phone

* Email Adress

# of Adults $36/Person

# of Children $18/Person (16 and under)

Name and Ages of participants:

T-Shirts: Please let us know your size.

Kids T-Shirts: S M L

Adults t-Shirts: S M L XL

Optional Additional Donation:

Amount

Total Amount Due

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Wed, January 23 2019 17 Shevat 5779