Virtual Run Registration Form

Virtual Run Registration Form

#RunItBeatItVirtually #typediabeatit

Join us on October 24th, 2020 for our first 5k Virtual Run in collaboration with Naturopathically Fit.

Type Diabeat It is committed to the fight against Diabetes. We want to increase awareness and alleviate the disparities that exist for those living with Diabetes.

Be sure to post your activity tracker, a short video, or a picture of you running with the hashtag #RunItBeatItVirtually and #typediabeatit.

Be sure to post between 9:00 AM - 9:00 PM for a chance to win one of our exciting giveaways!

Name*

First NameLast Name
Age
Gender

MaleFemale
Phone Number*

Area CodePhone Number
Email*
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Where did you hear about this virtual event?

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Registration fee*

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