Online Registration Form

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2017 Belleville Jingle Bell Run - 12/2/2017
9:45 am - $5 - 1K Fun Run
10:00 am - $30 - 5K Run/Walk
Students 18 and younger - If you are registering for the 5K, you
will receive a $5 discount off of the current 5K registration price.

Family of 4 Registrations (Four shirt Limit) - The 4th family member
will not be charged any fees. 
THIS SPECIAL EXPIRES ON
NOVEMBER 11TH AT 11:59 PM.


There will be a convenience fee of $3.05 per runner for order processing.
Exception (Family of 4): The $3.05 per runner for order processing
will be waived for the 4th runner.

Online registration closes on  12/1/2017 at 6pm EST
Refund Policy: NO REFUNDS unless you have been double charged
or accidentally signed up more than once.
* indicates required field

Credit Cards

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):
Phone Number*:
E-Mail*:
Birth Date*.


Gender*:


Shirt Size*:


Before 11/12/2017
Race*:


Are you a Student, Teacher, or neither one?


If a Student, where do you go to school?


Remove Runner

Runner Information

First Name*:
Last Name*:
Address*:
City*:
State*:
Zip Code* (5 digit US/6 digit Canada):
Phone Number*:
E-Mail*:
Birth Date*.


Gender*:

Shirt Size*:


Before 11/12/2017
Race*:



Are you a Student, Teacher, or neither one?


If a Student, where do you go to school?


     

I hereby release and hold harmless of myself, my child, and/or representatives, the city of Belleville, Everal Race Management, 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 Cities 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...
Everal Race Management
24500 Goddard Rd.
Taylor, MI 48180
Phone: 734-507-1789




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Current Server Time: 07/23/2017 @ 16, Scheduled REGISTRATION Shutdown Time: 12/1/2017 @ 6pm