Semper 5ive Miler

Registration for Semper 5ive Miler - 2017

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Registration for Semper 5ive Miler - 2017

* Category

Semper 5ive General Registration

* First Name

Middle Name

* Last Name

* Birthdate

(Example: M/D/YYYY)

* Gender

Female

Male

Participant Address

* Address line 1
* City	(or APO/FPO/DPO)
* State
Province	(Applicable outside the United States only.)
* Postal code
* Country

* Email Address

* Confirm Email Address

* Daytime Phone Number

(Example: 800-555-1212)

Evening Phone Number

(Example: 800-555-1212)

* Emergency Contact Name

* Emergency Contact Phone Number

(Example: 800-555-1212)

* Military Branch

* Military Status

* How long will it take you to run 5 miles? (HH:MM)

(Course Limit: 1h 40m - pace of 20 min mile. Ex: 01:30 OR use slide bars to right)

* Select which category applies

Runner

Runner Impaired

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