Asher’s Answer 5K Walk/Run Event
Participant Registration

Place

16 Progress Dr., Shelton, CT 06484

Event Date: April 26th, 2025

Event Time: 10am sharp (check-in begins at 8:30am)

Event Cost: $35/person (age 13 and up)

*To guarantee a T-shirt, registration must be in by 4/12/2025

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Participant #1 Full Nameyour full name
Your Age on Event Day
Additional Participant Full Name #2
Participant #2 Age on Event Day
Additional Participant Full Name #3
Participant #3 Age on Event Day
Additional Participant Full Name #4
Participant #4 Age on Event Day
Additional Participant Full Name #5
Participant #5 Age on Event Day
Total # of Participants
Telephone
Street Addressyour full name
Cityyour full name
Stateyour full name
Zipcodeyour full name
$ [field 36 *35]
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