Midnight Express 5K Online Registration

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Registrant #1

Who are you registering? *

First Name *

Last Name *

Email Address *

Confirm Email *

Create Password *

This will be the password for your RunSignup account.

Confirm Password *

Date of Birth *

Format: mm/dd/yyyy

Used for age group calculations

Gender *

Male Female

Non-Binary Prefer Not to Say

Phone *

Format: ###-###-####

Street Address *

Country *

Zip Code *

City *

State *

Choose Your Event(s) *

5K Road Race

$30.00 + $2.80 SignUp Fee

(Group Pricing)

Waiver

In consideration of acceptance for this entry, I waive all claims for myself and my heirs against officials or sponsors of the Midnight Express for injury or illness which may directly or indirectly result from my participation. I further state that I am in proper physical condition to enter this event.

By checking this box, I agree to the waiver and that I am 18 or older, or that I have the authority to register these participants and agree to the waiver for them, and agree to the Privacy Policy.

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Midnight Express 5K

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