2018 OCCCDA 5K FUN RUN/WALK Registration and Waiver
This 5K Fun Run/Walk is a community/family event and is open to runners/walkers of all ages. Adults and children are encouraged to register early. All participants must be registered. Everybody is a winner!

The Run is on June 16th.
Registration and Check-in is at 9:30am
Race start: 10:00am

Registration Fee: $10 for adults (t-shirts included), $8 for kids under 18 (t-shirts included)

Please complete the participant information below by May 31tst, in order to be guaranteed a t-shirt in your size.

Pay by cash or check to:
OCCCDA 5K Fun Run/Walk
900 E. Howell Street
Philadelphia, PA 19149

Please make checks payable to:
Oxford Circle Christian Community Development Association

We also accept payment through the Square Cash app at 215-520-0273 ($AnneRHess).
Please put "Fun Run" in the memo line.

http://occcda.org/events/

First Name: *
Your answer
Last Name (Family name): *
Your answer
Birth date:
MM
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DD
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YYYY
Age: (as of June 16, 2018) *
Your answer
Street Address: *
Your answer
E-mail address:
Your answer
Mobile phone #:
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T-shirt size *
How will you be paying your registration fee(s)? *
Consent Release Form: I agree to hold the City of Philadelphia, the Oxford Circle neighborhood, the Oxford Circle Christian Community Development Association, the committees and volunteers, and/or any employees thereof harmless and blameless for any accident or injury which may occur while participating in the 5K Fun Run/Walk. Type your Full Name below as your signature. *
Your answer
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