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Online registration for this Event is scheduled to be open through Saturday November 2nd, 2019 - 7:00 am (USCT). To register for this event please complete the form and click the Continue button below.
Race Information
Race Name:Pairing up to Beat Lung Cancer 5K/1 Mile Run/Walk
Location:Midtown Athletic Club, Palatine, IL
State:Illinois, United States
Posted:March 1st, 2019 10:40 am
Last Update:June 3rd, 2019 8:05 pm
 
Race: Logo
Event Information
Name of Event:Pairing up to Beat Lung Cancer
Distance:5.00
Measurement:Kilometers
Date:Saturday November 2nd, 2019
Start Time:8:30 am
Special Instructions:
For kids 15 and under and seniors 65 and over, an automatic discount of $10.00 will be applied
Minimum Age:5
Maximum Age:99
Event Registration Schedule
Opened:Friday March 1st, 2019Noon
Deadline passed:Saturday August 31st, 2019Midnight $25.00
Register by:Thursday October 31st, 2019Noon $30.00
Register by:Saturday November 2nd, 20197:00 am $35.00
Unless otherwise noted... Registration Dates & Times are based upon: U.S. Central Daylight Saving Time
 
This race features 2 events. Please checkmark to verify your registration intentions for:
Pairing up to Beat Lung Cancer 5 Kilometers
To choose a different registration, click its name below:
Pairing up to Beat Lung Cancer • 1 Miles
Step 1 of 2 - Participant Registration
First Name
 
Last Name
Address 1
Address 2
City
State / Province

Use 2 digit code for US and Canada
otherwise, leave blank.
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Country (only if outside of the U.S. and Canada)

Leave blank if address is within US or Canada.
Zip / Postal Code
Primary Phone Number

Required... please provide your primary number.
Other Phone

Optional... provide an alternate phone number.
Email Address

Participant's active Email Address... check for accuracy.
Participant's Date of Birth

Format: YYYY-MM-DD
Sex

Gender: M for Male, F for Female.
Apparel Description
Long-sleeved shirts for the first guaranteed for participants registering by 10/25/19. Kids and adult sizing. Be sure to register early to guarantee your size. We can not guarantee a shirt for those registered after 10/25/19.
Size Selection

How did you first learn about our Pairing Up To Beat Lung Cancer charity run?

Optional... help make our race better by letting us know how you found us.
Example: "I ran last year", "saw neighborhood sign / flyer", "received email notification", "referred by friend".

"Pairing Up" Teammate Name, Sex, Age

Optional, for 5k only... would you like to "pair up" and participate in our special 2-person scoring competition? If so, enter your teammate's Full Name, Sex, and Race Day Age. Your finishing time will be combined with your teammate's time, and together your team will be scored against others within age-graded categories of Male, Female, or Mixed.
Note... participation requires each teammate to be pre-registered in our 5k race. This category is not available to race-day entries!

Are you a Lung Cancer Survivor?

Optional... if you're a "lung cancer survivor" you may identify yourself by selecting this option, otherwise leave blank.

Charitable Donation

Optional... please consider an additional charitable donation. As a fundraiser, all proceeds are donated to the Northwest Community Healthcare Foundation.

Waiver
In consideration of your accepting this entry, I, the below signed, intending to be legally bound, for myself, my heirs,my executors and administrators, waive and release and any all rights and claims for damages I may have against the race, sponsors and their representatives, successors and assigns for any and all injuries suffered by me in said event. I attest that I will participate in this event as a footrace, that I am physically fit and sufficiently trained for the completion of this event. Furthermore, I hereby grant full permission to use my name and likeness, as well as any photographs and any record of this event in which I may appear for any legitimate purpose, including advertising and promotion
 Agree to waiver by checking here.
By agreeing to this waiver you submit to the terms and conditions as set forth by this event and certify that you have provided true and accurate information as requested through this registration process.
Coupon Code

Do you have a coupon or promo code? If so, please include it here.

Confirm your responses above... then click Continue to advance to Step 2.
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