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SOUTH SHORE YMCA

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Annual Fall Festival
and Scenic 5K Registration

Ticket Options*
- 5K Participant ($35)
- Spectator ($15)
How many 5K Participants?*
Please, enter a numeric value
How many Spectators?*
Please, enter a numeric value
First Name
Only the name of a purchaser needed
Last Name
I would like to make a donation of
Please select a t-shirt size for each registrant participating in the 5K.
T-Shirt Size Quantity

Available Sizes:
Youth – Small, Medium, Large
Adult – Small, Medium, Large, X-Large
Email
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Total
$0.00
Ticket Total
Price: $0.00

T-Shirt Size	Quantity

Annual Fall Festival and Scenic 5K Registration

Annual Fall Festival
and Scenic 5K Registration