Run Registration Page

RACE ROUTE

A Pampa United Way organization

Race Participants must sign the Race Agreement before receiving race number and participating in race!

Registration Form
5K/10K
$20 on or before April 14, 2012
$25 after April 14, 2012
Kid's Fun Run:
$10 on or before April 14, 2012
$15 after April 14, 2012

If you are registering online you can click on the paypal links provided below.

Spring Fling

April 21, 2012

To benefit CREATE a Beat

Afterschool Program

5K/10K $20 Kid’s Fun Run $10

Pampa Community Center for the Arts

All Race Participants must print the

Race Agreement, sign it and bring it with them.

You will not receive a race number without signing this Race Agreement and turning it in.

Download Registration Form and Mail It In or

First Name: Last Name:

Address: Apt,/Suite

Phone: City: State: Zipcode:

Sex: Male Female Age: Birthdate:

eMail Address:

10K ($20) 5K ($20) Fun Run ($10) Parent T-Shirt ($10)

Please give your t- shirt size below (example - Adult L, Child S etc.)

T-Shirt Size Additional Parent T-Shirt

Additional Donation Amount: $10 $25 $50 $100

I would like to pay with:

Paypal (see below)

With a personal check (please note the payer on the check)

After submitting return to form to pay with paypal!!

Pay here with Paypal (or send check to P.O. Box 1565)

If you would like to register for the run and make a donation, choose your RUN click add to cart then return to this page to add the donation to your cart before you pay and both items will appear in your Paypal cart!