Beyond Blisters 5K Fun Run
Runner's First Name *
Your answer
Runner's Last Name *
Your answer
Runner's Email Address
Your answer
Who will you be representing?
Choir Name and/or State Affiliation?
Your answer
ACDA Membership Number or Participating Choir's Name *
Your answer
Select One that best describes you. *
TShirt Size *
Select your age bracket: *
By submitting application and authorizing registration payment for this event I give permission for my image to be taken/used for promotional purposes/advertising at this event immediately and in the future. I also understand and agree that ACDA Southern Region will not be held liable for acts of negligence, save and except intentional, willful or gross negligence which may result in compensable damages to participant while participating in this race. By making application and submitting registration payment I certify that I am fit to race. *
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