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First name

Last name

Date of birth

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Phone

Street

City

State

Zip

Races

50k - Running - Wells Mills 50k ($70.00)

20k - Running - 20K ($30.00)

10k - Running - 10K ($30.00)

Extras

t-shirt (not included with race fee) - $10.00

Sweatshirt as extra for 10K or 5K - $25.00

Gender

Male

Female

Size (50K only) or if you have selected as extra above

T-Shirt Color

From the selections above membership information is required. If you are not a member you must purchase a membership.

USATF-NJ -$3

Membership options

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