Live the Challenge 5K Fun Run/Walk Pre-Registration Form

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Complete this form to expedite your registration the morning of Live the Challenge.

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First Name: *

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Last Name: *

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Mailing Address: *

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City: *

Arvin

Lamont

Bakersfield

Other:

Zip Code: *

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Phone Number: *

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Alternate Phone Number:

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E-mail Address:

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