5K/10K Registration

5K/10K Registration Form

Registration Fee
   5K Event (Ages 10 yrs & older):  $30/person                              Date of Event: September 6, 2015
   10K Event (Ages 10 yrs & older):  $40/person                            Time of Event: 9:00 am to 12 pm (check-in begins at 8:00 am)
   FREE registration for children under 10 years old, active duty service members, and veteran service members                           Location: Pop Keeney Stadium (Bothell, WA)

Note:  Due to the order deadline of the T-shirt supplier, participants who registered by Aug. 20, 2015 are guaranteed to receive T-shirts.  All remaining T-shirts will be given away on a first come first serve basis, with sizes not guaranteed.

(1)  Register and pay on line by completing and submitting the application below.
(2)  Register by mail:  Mail a check to "The NAMES Foundation, 8812 NE 189th Place, Bothell, WA  98011".  Please write "5K/10K Registration fee" on your check.
(3)  Register during check-in period, starting at 8:00 am, on Sept. 6th (cash, check, or credit accepted)

Click "Submit" after filling in the information below so that your registration form is recorded.  After submitting your registration form, you will be directed to the payment section to complete your registration.

Thank you for supporting our military service members and the NAMES Foundation by participating!

Event (enter 5K or 10K):
Name (First & Last names):
T-Shirt Size (S,M,L,XL)
Are you an active duty military service member or a veteran service member? (Yes or No):
Age:
Address (Street number & name):
City:
Zip Code: (5 digits)
State:
Daytime Phone:
Email:
Emergency Contact Phone:
Who referred you to the NAMES 5K/10K?:
Where did you hear about the NAMES 5K/10K?:

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