Editing previous response:

Please fix the highlighted areas below before submitting.

PAA 5K Registration Form

PAA 5K Registration

Date: Saturday, November 9th

Time: 1pm

Location: Island Park

Get up and get moving for PAA 5K open to all! Friends and family are welcome to participate!

All proceeds benefit PAA Extracurricular Activities

Water stations and snack provided by PAA Boosters.

Student Participant Information (1)

First Name*

Answer Required

Last Name*

Answer Required

Grade & Teacher*

Answer Required

Student Participant Information (2)

First Name

Answer Required

Last Name

Answer Required

Grade & Teacher

Answer Required

Student Participant (3)

First Name

Answer Required

Last Name

Answer Required

Grade & Teacher

Answer Required

Additional Participant Information

First Name (1)

Answer Required

Last Name (1)

Answer Required

First Name (2)

Answer Required

Last Name (2)

Answer Required

First Name (3)

Answer Required

Last Name (3)

Answer Required

First Name (4)

Answer Required

Last Name (4)

Answer Required

Parent/Guardian Information

First Name*

Answer Required

Last Name*

Answer Required

Email*

Answer Required

Phone*

Number Required

Quantity

PAA 5K Registration Fee (Running Club Members Free)*

Price: $20.00

Quantity

PAA Sweatband ($8 Extra)*

Price: $8.00

Confirmation Email

Confirmation Email *

Email Required