Brad St. Louis - Official Site

Brad St. Louis Sportsfest Race Registration
If you are interested in participating, click here to complete and submit the form. You will receive an acceptance reply within 48 hours. Payments may be made by Credit Card or Personal Check made payable to: Brad St. Louis Foundation, c/o Flying Colors Sports, 8270 Miranda Pl, West Chester OH 45069 (Prior to May 31, 2008).
Primary Contact First Name: *
Primary Contact Last Name *
Street Address:
City:
State:
Zip Code:
E-mail: *
Confirm E-mail: *
Phone: *
5K Runners: $20 each (enter names & ages):
(Note: For groups of 3 or more, cost is reduced to $15 each)
3K Runners: $15 each (enter names & ages):
3K Walkers: $15 each (enter names & ages):
3K Dog-Walkers: $15 each (enter names & ages):
Post Race Bar-BQ: $10 each (enter names only):
TOTAL AMOUNT (no refunds):
METHOD OF PAYMENT:	Mailing Personal Check Credit Card
PayPal Credit Card Processing:
Credit Card Type:
Credit Card Number:
Expiration Date:
CVN# (3-4 digits):
Name on Card:
Billing Address:
City:
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Zip code: