Juneteenth 5K Run and Sprint Triathlon Sign-up Form

Juneteenth 5K Run and Sprint Triathlon

Sign-up and join us for a fun, healthy event for a great cause! You won't possibly regret it.

All proceeds go to support The Black Women and Girls Fund.
Learn About Juneteenth
What is Juneteenth?

The organizers enthusiastically encourage you to become familiar with the Juneteenth holiday. Please visit this site to learn more about the occasion. Thank you!
Your Information
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Member #
0
Name*
First Last
Email Address*
Please provide an email address to contact you about race news. Your email address will not be shared with anyone for any purposes other than official race communications.
Event*
Which event are you signing up for? If you are signing different people up for different events, please fill out and submit separate forms for each "event" (i.e., 5K Run, Triathlon, Relay). Thank you!
- Super Sprint (12 & under) -- $15 each
- Sprint Triathlon -- $50 each
- Sprint Triathlon Relay (2 or 3 racers) -- $70 (flat)
Number of Racers*
Please enter the number of racers you are registering for this event. The Sprint Triathlon Relay consists of 2 or 3 people and happens at the say time as the Sprint Triathlon (hint: don't sign someone up for the Relay and something else).
Enter Each Participant Below
You selected more than three participants for the Sprint Triathlon Relay. This event is limited to three people max. Please enter the three participants below.
You selected one participant for the Sprint Triathlon Relay. This event requires at least two people. Please enter the two participants below. If you wish sign up a third person to the group, change the Number of Racers field above .
Racer #1 Information:
Name*
First Last
Category*
Please select the category you would like to race under. Note: Participants are invited to choose the category that is most comfortable for them.
- Category A: Men, Transmasculine, Non-Binary, Other
- Category B: Women, Transfeminine, Non-Binary, Other
- Category C: Not Gender Based
Age Group*
- 12 or Under
- 13 to 49
- 50 or Over
Racer #2 Information:
Name
First Last
Category
Please select the category you would like to race under. Note: Participants are invited to choose the category that is most comfortable for them.
- Category A: Men, Transmasculine, Non-Binary, Other
- Category B: Women, Transfeminine, Non-Binary, Other
- Category C: Not Gender Based
Age Group
- 12 or Under
- 13 to 49
- 50 or Over
Racer #3 Information:
Name
First Last
Category
Please select the category you would like to race under. Note: Participants are invited to choose the category that is most comfortable for them.
- Category A: Men, Transmasculine, Non-Binary, Other
- Category B: Women, Transfeminine, Non-Binary, Other
- Category C: Not Gender Based
Age Group
- 12 or Under
- 13 to 49
- 50 or Over
Racer #4 Information:
Name
First Last
Category
Please select the category you would like to race under. Note: Participants are invited to choose the category that is most comfortable for them.
- Category A: Men, Transmasculine, Non-Binary, Other
- Category B: Women, Transfeminine, Non-Binary, Other
- Category C: Not Gender Based
Age Group
- 12 or Under
- 13 to 49
- 50 or Over
Racer #5 Information:
Name
First Last
Category
Please select the category you would like to race under. Note: Participants are invited to choose the category that is most comfortable for them.
- Category A: Men, Transmasculine, Non-Binary, Other
- Category B: Women, Transfeminine, Non-Binary, Other
- Category C: Not Gender Based
Age Group
- 12 or Under
- 13 to 49
- 50 or Over
Payment and Waiver
All participants are bound by the terms of the Triathlon Liability Waiver. By checking the box below, you are electronically signing the waiver and acknowledging agreement with the terms and conditions therein for yourself and anyone else that you have represented by signing them up for the triathlon. Click here to read the waiver.
Sign the Waiver*
I have read the waiver and accept the terms therein.
Triathlon Entry Fee (donation)
Price: $125.00
5K Entry Fee (donation)
Price: $125.00
Relay Entry Fee (donation)
Price:
Additional Donation Amount (completely optional)
Total
$0.00
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name

Juneteenth 5K Run and Sprint Triathlon

Learn About Juneteenth

Your Information

Enter Each Participant Below

Payment and Waiver

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