Diaper Run 5k Sign-up
Please register for the Diaper Run 5k! The event will be held on May 3rd at Bellingham Park in Mooresville, North Carolina (1600 Bellingham Dr., Mooresville, NC, 28115). The fun run will begin at 8:30am and the 5k will begin at 9am. All proceeds will be going to ROOM (Reach Out Orphanage Ministries) to take care of the basic needs of orphaned children in Honduras!

Registration Fees:                      Thru April 26th, 2014                          After April 26th, 2014

Fun Run                                    $10                                                  $12

5K                                            $15                                                   $20

Race Day Registration & Check-in:

Race day registration and check-in will be held at the shelter at Bellingham Park from 7:30am-8:30am. All participants who register by midnight on April 26th will be guaranteed a Diaper Run 5k t-shirt.

Questions?

Email: diaperrun5k@gmail.com
Phone: 704-778-0711
Sign in to Google to save your progress. Learn more
Name: *
(First and Last)
Team Name: (Optional)
(Same team name must be used by all members)
Address: *
City/State: *
Email: *
Phone Number: *
Race Day Age: *
Date of Birth: *
MM
/
DD
/
YYYY
Gender: *
Emergency Contact: *
Emergency Phone: *
Event: *
Which event will you be participating in?
Shirt Size: *
Would you like to be reminded by email closer to the event? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy