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Let's Move Day 2012

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Greater New York Conference of the Seventh-day Adventist Church
Let’s Move Day ‘12 5K  - Marathon (Run/Walk)

Registration & Payment Deadline - September 18, 2012
(All registrations must include a Medical Form per participant and a Parental Permission Form for each minor participating)

Name: *
  Email:   *
  Phone:   *
  Church:   *
  Pastor:   *

Registration fee:

$15 per person. (Each Participant will receive a participation medal and official T-shirt).

Marathon Categories:

  1. Juniors:10-12 years old
  2. Teens: 13-17 years old
  3. Young Adults: 18-35 years old
  4. Adults: 36-55 years old
  5. Experienced: 56+
  6. Families: walking together (Not competitively- of any age)


(of individual entering Marathon)
M / F Category
Run / Walk T-Shirt
for minors


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Downloadable Forms - Formularios para descargar
Registration Form   Formulario de Registración
Permission and Medical Form - kids   Permiso Paterno o de Tutor
Medical Form_Waiver_Release - Adult   Tratamiento Médico - Adultos