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Bond Brothers 5k Registration Form
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Price Schedule
Through
06/30/2023
Through
07/31/2023
Through
08/31/2023
Through
09/23/2023
Individual Runner
$30
$35
$40
$45
Kids' Dash
$15
Virtual Runner
$30
Categories
*
Individual Participants
Individual Runner
- $30.00
Includes one (1) event t-shirt, one (1) race medal
Kids' Dash
- $15.00
Includes one (1) race medal
Virtual Runner
- $30.00
Includes one (1) event t-shirt, one (1) race medal. You can pickup in person, or elect to have items shipped to you (for additional $10)
Participant Information
Participant Email
*
Participant First Name
*
Participant Last Name
*
Participant Birthdate
*
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- year -
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Participant Gender
*
Male
Female
Country
*
-- select country --
Canada
International
United States
Street Address (w/Apt#)
*
City
*
State
*
-- select state --
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Utah
Virgin Islands
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Virginia
Washington
West Virginia
Wisconsin
Wyoming
-- select state --
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Col.
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
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Rhode Island
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Tennessee
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Utah
Virgin Islands
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Virginia
Washington
West Virginia
Wisconsin
Wyoming
-- select province --
Alberta
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Yukon
Zip Code
*
Phone
*
Would you like to
receive important event text alerts
on this number (eg. changes or delays)?
Emergency Contact Name
*
Emergency Phone
*
Select the size of your t-shirt!
*
-- select one --
XS
S
M
L
XL
XXL
Next Level Tri-Blend - Super Soft! 50% cotton / 25% polyester / 25% rayon -- made in USA -- Unisex sizing
Are you, or are you related to, a CAPTRUST employee?
Make a Donation
CAPTRUST Community Foundation
click here
, to learn more about this cause
Amount $
At the CAPTRUST Community Foundation, we believe that the hearts and minds of children should be cherished, protected, and nourished. We support organizations that specifically help children with physical disabilities, illnesses, abuse, poverty, absence of a parent, and more. Plain and simple, we want to enrich the lives of all children. Over the ten years we've been in existence, we have given away over a million dollars with that goal in mind. In some cases, we give small grants directly to vetted charities, and in other cases we provide larger grants and partner with charities to help them achieve more than just money would provide.
Waiver
*
I have read and agreed to the
TERMS
*
Click here to read the TERMS
Is the participant 18 or older?
*
18 or older
Under 18
Parent or Legal Guardian’s Signature - By providing your electronic signature you agree that you have the authority to register these participants and agree to the waiver(s) for them as their parent or legal guardian.
If registering a child under 18, you are consenting to the collection of the child's information that you are providing for the purposes of registration.
Parent's signature
Shipping Options
Do you need your order shipped? Shipping cost: $10.00
Shipping address is the same as the Participant Address
Shipping Name
Shipping Address
Shipping City
Shipping State
-- select state --
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Col.
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
-- select state --
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Col.
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
-- select province --
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Shipping Zip Code
Payment Details
Discount or Tracking Code
Apply
Do not COPY & PASTE the code, please type it into this field.
Price
$
Discount (-)
$
Shipping
$
Total
no handling
$
Handling
$
Donation
$
Total Owed
$
Payment Method
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Visa/Mastercard
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Address:
click the "pay now" button to submit your order then send a check to (or pay in person at) the address above.
1. Venmo the total amount to the Phone #:
2. Make sure you enter the code,
56700
in "What's it for".
3. Click the "pay now" button.
Enter a Check Number
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