Eagle Challenge Fun Run and Roll Registration Form
Saturday May 10, 2025 8:30 AM- 12 PM at Laurel Ridge Elementary
Your Information
Participant Full Name
First Name
Last Name
Age
Grade Level
Pre-K (9 AM)
Kindergarten (9:15 AM)
1st Grade (9:30 AM)
2nd Grade (9:45 AM)
3rd Grade (10:00 AM)
4th Grade (10:15 AM)
5th Grade (10:30 AM)
Community Member (10:45 AM)
Run or Roll
Runner
Roller (wheelchair users only, no bikes, scooters, etc.)
Participant Shirt Size
Please Select
YOUTH S
YOUTH M
YOUTH L
YOUTH XL
ADULT S
ADULT M
ADULT L
ADULT XL
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Last Name
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Format: (000) 000-0000.
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Additional Entries
Participant 2 Full Name
First Name
Last Name
Age
Grade Level
Pre-K (9 AM)
Kindergarten (9:15 AM)
1st Grade (9:30 AM)
2nd Grade (9:45 AM)
3rd Grade (10:00 AM)
4th Grade (10:15 AM)
5th Grade (10:30 AM)
Community Member (10:45 AM)
Run or Roll
Runner
Roller (wheelchair users only, no bikes, scooters, etc.)
Participant 2 Shirt Size
Please Select
YOUTH S
YOUTH M
YOUTH L
YOUTH XL
ADULT S
ADULT M
ADULT L
ADULT XL
Participant 3 Full Name
First Name
Last Name
Age
Grade Level
Pre-K (9 AM)
Kindergarten (9:15 AM)
1st Grade (9:30 AM)
2nd Grade (9:45 AM)
3rd Grade (10 AM)
4th Grade (10:15 AM)
5th Grade (10:30 AM)
Community Member (10:45 AM)
Run or Roll
Runner
Roller (wheelchair users only, no bikes, scooters, etc.)
Participant 3 Shirt Size
Please Select
S
M
L
XL
Participant 4 Full Name
First Name
Last Name
Age
Grade Level
Pre-K (9 AM)
Kindergarten (9:15 AM)
1st Grade (9:30 AM)
2nd Grade (9:45 AM)
3rd Grade (10 AM)
4th Grade (10:15 AM)
5th Grade (10:30 AM)
Community Member (10:45 AM)
Run or Roll
Runner
Roller (wheelchair users only, no bikes, scooters, etc.)
Participant 4 Shirt Size
Please Select
YOUTH S
YOUTH M
YOUTH L
YOUTH XL
ADULT S
ADULT M
ADULT L
ADULT XL
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Runner/Roller Fee
Check this box and select the number of participants:
$
10.00
Participant(s)
1
2
3
4
Additional Donation
Donations are tax deductible as allowed by law
$
5.00
Quantity
1
2
3
4
5
6
7
8
9
10
Additional Donation
Donations are tax deductible as allowed by law
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
Additional Donation
Donations are tax deductible as allowed by law
$
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card Details
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Last Name
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