Reinhardt's Fun Run for St. Jude

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First Name: *

Last Name: *

Phone Number: *

E-mail Address: *

Gender: *

Male

Female

Are you a Reinhardt Student? *

Yes

Are you a part of Reinhardt's Faculty or Staff? *

Yes

Are you a Reinhardt Community Member? *

Yes

How will you be paying the Regitration Fee? *

Pre-Registration $10 for Students, Faculty, and Staff and $15 for Community Members

I plan on mailing a check, made out to Reinhardt University, to- Reinhardt University; Student Affairs-Philanthropy; 7300 Reinhardt College Circle; Waleska, GA 30183

I plan to pay in the Business Office at Reinhardt University

I play to bring a check or cash to the day of the event (Resistration fee will increase to $15 for Reinhardt Students, Faculty, and Staff and $20 for community members)

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