Registration form for the 2022 Miliani YMCA 5K Charity Fun Run, 7 a.m., Saturday, April 30, 2022.

1. April 30, 2022
RACE BEGINS AT 7:15 A.M.
CHECK IN AT 6:00 A.M.
at the Mililani YMCA
Healthy Kids Day @ the Y!
Celebrate the 30th Anniversary of YMCA Healthy Kids Day
with a community event for families at the Mililani YMCA!
Register online at https://mililaniymca5k.funraise.org/ or scan QR code
For more information, call the Mililani YMCA at (808) 271-6354
ENTRY FEES:
PRE-REGISTRATION (UNTIL APRIL 29,2022) DAY OF RACE (APRIL 30, 2022)
Adults & Seniors - $25 Adults & Seniors - $30
Youth (Under 18 y/o) - $20 Youth (Under 18 y/o) - $25
Kids in Stroller - FREE Kids in Stroller - FREE
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Registration Form
Name(s) and T-Shirt Size(s):
____________________________________
____________________________________
____________________________________
____________________________________
**A shirt is not guaranteed if registering after April 18, 2022**
Under
18
In
Stroller 18+ Youth Adult
Size:_________ Age:_________ DOB:_____/_____/_____
AWARDS GIVEN TO TOP 3 MALE AND
FEMALE AGE GROUPS
12 and under, 13-17, 18-26, 27-39,
40-59, 60+, Top 3 Strollers
Size:_________ Age:_________ DOB:_____/_____/_____
Size:_________ Age:_________ DOB:_____/_____/_____
Size:_________ Age:_________ DOB:_____/_____/_____
Phone Number: (_______)_______-________ Email:____________________________________ Price: $_______________
*required *required
______________________________________ ___________________________________________ _______________________
Name (Print) Signature (Parent/Guardian if entrant < 18) Date
I would like to support the Mililani YMCA with a donation of $_______________
Category T-Shirt Size