CPYL 5k Run for Camp Registration      October 4, 2014    
Register now to participate in our 2nd Annual Central Phoenix Young Life 5k.  All proceeds go towards sending kids to camp.
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GENERAL INFORMATION
Name *
Email *
Address
Age *
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Phone Number
T-Shirt Size *
REGISTRATION AND PAYMENT
Please choose the appropriate registration option.    
PAYING BY CHECK:
Make check payable to Young Life and mail to:
Central Phoenix Young Life
1130 E Missouri Ave, Ste 404
Phoenix, AZ 85014

MAKE A CREDIT CARD PAYMENT ONLINE:
Please click on the following link:
http://goo.gl/MbxGib
Registration Options *
Payment Options *
Your online payment will be recorded as a camp donation, and you will receive an email confirmation from the YL Service Center
As a participant of the CPYL 5k on October 4, 2014, I, on  behalf of myself, my heirs and assigns, and my estate, hereby waive and forever discharge the sponsors,  organizers, affiliates, as well as their agents and employees, from any and all claims that may occur as a result  of my participation.  I attest and verify that I am, or my child (under 18), is medically able to participate and  assume all risks of participation in this event. I understand that I may be photographed and/or videotaped at the event. *
Required
I understand there are no refunds given for the CPYL 5k. *
Required
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