Online Registration Form

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2017 Gallup Gallop - Date: 9/10/2017
8:30 am - $10 - 1 Mile Fun Run
9:00 am - $25 - 5K Run
1 Mile / 5K combo
Run 'em both!  All 5K runners can run the mile for no additional cost.
There will be a convenience fee of $2.95 per person for order processing. Online registration closes on 9/8/2017 at 3pm EST
Refund Policy: NO REFUNDS unless you have been double charged
or accidentally signed up more than once.
* indicates required field



The following step requires you to complete the payment process. Please do not submit your registration until you have your credit card ready.

Additional Runner Information

First Name*:
Last Name*:



Address*:
City*:
State*:
Zip Code* (5 digit US / 6 digit Canada - NO SPACES OR DASHES):
Phone Number*:
E-Mail*:
Birth Date*.


Gender*:


Shirt Size*:


Race*:

Remove Runner

Runner Information

First Name*:
Last Name*:
Address*:
City*:
State*:
Zip Code* (5 digit US / 6 digit Canada)
NO SPACES OR DASHES:
Phone Number*:
E-Mail*:
Birth Date*.


Gender*:

Shirt Size*:


Race*:



DONATIONS

Please select OPTIONAL charity to donate to:




YOUTH OR AATC DISCOUNT


 

I hereby release and hold harmless of myself, my child, and/or representatives, the City of Ann Arbor, The Ann Arbor Track Club, the event sponsors and organizers from liability for injuries or damages which I or my child may sustain while participating in this activity even if the injuries are caused by the sole negligence of the City or the sponsors or event organizers. I understand that I am responsible for medical coverage for me and my child.

I have read and agree to the above terms.

Refund Policy: NO REFUNDS unless you have been double charged
or accidentally signed up more than once.


A confirmation of your registration will be emailed to you immediately.

Please do not submit until you're ready to pay...

Your credit card will be charged as...
The Ann Arbor Track Club
P.O. Box 7551
Ann Arbor, MI 48107
Phone: 313-300-4803



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Current Server Time: 06/23/2017 @ 18, Scheduled REGISTRATION Shutdown Time: 9/8/2017 @ 3pm