Jada's Journey 5K Fun Run/Walk Registration

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Event Date: April 23, 2023

Event Address: Independence Grove

16400 W. Buckley Road Libertyville, IL 60048

Check In Time: 8:30 AM

5K start time: 9:00 AM

Registration Fee: $25: *Please complete one registration form for each participant. Ages 10 and under are free.

Click the donate now button on our website at Jadas-journey.org or Zelle donate@jadas-journey.org

Refreshments will be provided

SPONSORSHIPS AVAILABLE

contact: Michele at jadasjourney22@gmail.com (Jada's Journey is a 501C3 organization)

DONATIONS

click the donate now button our website at Jadas-journey.org or Zelle donate@jadas-journey.org

Email *

Full Name *

Phone number *

Address *

Age *

T-Shirt size *

I acknowledge that this 5K involves physical activity and there are possible risks and dangers.

Upon submission of this form, I release the Jada's Journey organizers for any responsibility in case of accident, illness, or injury.

Registration Fee: $25: Please check your form of payment and visit our website for your payment options.

Click the donate now button on our website at or Zelle donate@jadas-journey.org

Paypal

Credit Card

Required

Emergency Contact Name and Phone Number *

A copy of your responses will be emailed to the address you provided.

Submit

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