Individual Registration

Choose the number of entries in the quantity drop down menu. Prices include online processing fee.

Ticket Type	Price	Quantity
5k	$28.00
10k	$34.00
15k	$39.00
Duathlon 2.5 mile run - 10 mile bike - 1/2 mile run	$49.00
Kids Dash 400 meter distance and a 9:15am start	$5.00

First Name *

Last Name *

Address *

City *

State *

Zip *

Country

Would you like to donate to Earth Runs Fall Planting Project?

Coupon

Amount

Discount Amount

Payment processing fee

Gross amount

Payment Method

Paypal Pro (Creditcard payment)

Billing Zipcode*

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

By registering for this event, I accept Terms and Conditions