16th Annual Sue Lulf Memorial

17th Annual Sue Lulf Memorial

Registration form
Location: Main street. Jefferson, SD
Race Dates: July 13, 2024
Time: Registration - 7:00 AM

Race starts at 8 AM.
Participant Details
Full Name*

First NameLast Name
Age
Date of Birth*

MonthDayYear
Date
Email
example@example.com
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Race Type
prevnext( X )
1.5 Mile Walk$10.00

Quantity

5K Run$20.00

Quantity

10K Run$20.00

Quantity

Total $0.00
T-shirt sizes are limited in availability.

Deadline to guarantee a T-shirt is July 1st.
T-Shirt Size*

Adult LargeAdult XLAdult XXL
If entering more than 1 registry please list names of all participants and T-shirt sizes below :
Waiver & Release
I confirm that I am in good shape, health, and condition.I don't have any medical condition or medical history that will affect my participation in this event.I will follow the rule and regulations of the road race event.I acknowledge that this road race requires physical activity and there are possible risks and danger.I release the road race event organizers for any responsibility in case of an accident, illness, or injury.I allow my photo to be taken during the event and used for event advertising and marketing.I confirm that all information in this registration form is accurate and true.
Participant's Signature

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Date Signed

MonthDayYear
Date
Parent/Guardian Signature (If participant is below 18 years old)

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Registration Payments
Payment Methods

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17th Annual Sue Lulf Memorial

Participant Details

T-shirt sizes are limited in availability.

Waiver & Release

Registration Payments