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Yavneh Academy - Garden State Plaza 5K & 1 Mile Fun Run
Sunday November 12, 2017
8:45 a.m. - 5K, 9:30 a.m. - 1M
Garden State Plaza Mall
Paramus, NJ
Please select from the following categories:
 1 Mile  Standard registration for the 1M fun run - 1 form per person. $18.00 
 5K Run  Standard registration for the 5K run - 1 form per person. $28.00 
 Combo - 1M & 5K  Standard registration for 1 person to participate in BOTH the 1M & 5K. $38.00 
 Child Cone  Please select this during each child's registration for whom you wish to purchase a cone. One child's name per cone. $50.00 
 Staff Cone  For Yavneh Faculty and Staff Only. Please enter how you would like the name to appear on the cone in the space below. $50.00 
 Family Cone  Includes listing on T-Shirt. *Please enter how you would like the name to appear on the cone in the space below. *Thank you for supporting Yavneh with your sponsorship. If you plan on running with us please remember to separately register for the 1 Mile, 5K, or Combo. $180.00 
 Friend*  Includes listing on T-shirt. *Thank you for supporting Yavneh with your sponsorship. If you plan on running with us please remember to separately register for the 1 Mile, 5K, or Combo. $250.00 
 Patron*  Includes listing on T-shirt. *Thank you for supporting Yavneh with your sponsorship. If you plan on running with us please remember to separately register for the 1 Mile, 5K, or Combo. $360.00 
 Donor*  Includes listing on T-shirt. *Thank you for supporting Yavneh with your sponsorship. If you plan on running with us please remember to separately register for the 1 Mile, 5K, or Combo. $500.00 
 Tent Sponsor*  Includes listing on T-shirt. *Thank you for supporting Yavneh with your sponsorship. If you plan on running with us please remember to separately register for the 1 Mile, 5K, or Combo. $1,000.00 
 Bib Sponsor*  Sponsor name appears on all runner's bibs, and is also included on the T-shirt. *Thank you for supporting Yavneh with your sponsorship. If you plan on running with us please remember to separately register for the 1 Mile, 5K, or Combo. $1,800.00 

Please provide the following information on the participant. Required fields are denoted by an asterisk *.
*First Name *Last Name
*Gender
*Birth Date

MM

DD

YYYY
 
*Address
 Address
*City *State
*Zip  County
*Country
*Phone
*E-mail
  A registration confirmation will be sent to this e-mail address

 Waiver
* I have read the above waiver and agree to terms

*Please choose your T-shirt size (dri-fit):
   YM  YL  XL  XXL 
What grade are you in? (This question is for Yavneh students only.)
Are you a member of the Yavneh Academy faculty/staff? Yes    No
If you have purchased a Child Cone for this registrant, please list the name you would like to appear on the cone.
If you purchased a Family Cone, please list the name you'd like on the cone.
If you have purchased a Staff Cone, please list the name you'd like on the cone.
Cancel this registration Save this registration and start another Process this registration
 

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