Runner Registration

Includes the 2024 Run T-shirt and entry into the Family Fun Day Picnic

Run Registration Fees

Name

Male or Female

Gender/Age/Division

Age on Race Day

Chip Number (Office Use Only)

Phone Number

Address

T-Shirt Size (unisex)

Emergency Contact Number

Emergency Contact Name/Relation

Do you plan on taking Public Transit, if so please indicate which type (train or ferry)

Picnic Non-Runners Fee

Food and Beverage
For those not running and would like to attend the Family Fun Day Picnic at the race finish. Includes food and beverage
$30.00 ea.
Add
Food, Beverage, T-shirt
For those not running and would like to attend the Family Fun Day Picnic at the race finish. Includes food, beverage, and T-Shirt
$40.00 ea.
Add

Name of Picnic Attendee(s)

Share with HeartShare

50/50
$100.00 ea.
Add

I would like to make a donation

Please indicate who or what the donation is for

Total

$0.00

All Proceeds Benefit:

Terms

I understand that HeartShare Human Services of New York and all other organizations or persons connected with this event are not responsible for any injuries which I may suffer while taking part in this event or as a result thereof. I hereby waive any claim of damages to my person and/or personal property.

I, the undersigned, agree to the terms above.

Coupon Code

RedPodium Sports Event Management System

Event Registration Software by RedPodium

Runner Registration

*Includes the 2024 Run T-shirt and entry into the Family Fun Day Picnic*

Picnic Non-Runners Fee

Share with HeartShare

Includes the 2024 Run T-shirt and entry into the Family Fun Day Picnic