Join the 5K for Innovation at BHS!

Registrant Name *

First Name

Last Name

Email *

Verify Email *

Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Number *

Number of Registrants (up to 10)

Registrant 2

First Name

Last Name

Registrant 3

First Name

Last Name

Registrant 4

First Name

Last Name

Registrant 5

First Name

Last Name

Registrant 6

First Name

Last Name

Registrant 7

First Name

Last Name

Registrant 8

First Name

Last Name

Registrant 9

First Name

Last Name

Registrant 10

First Name

Last Name

Waiver *

By checking this box, you agree electronically that you have read, understood and agreed to liability waiver and privacy policies. You are 18 or older, or have the authority to register these participants and agree to the waiver(s) for them as their parent or legal guardian. By registering a child under 13, you are consenting to the collection of the child's information that you are providing for the purposes of registration.

Yes!

Amount *

$10 - 1 - Registrant (suggested)

$20 - 2 - Registrants (suggested)

$25 - Team, up to 10 people (suggested)

$0 - Free for BHS Faculty/Staff/Students

Please direct friends and family to sponsor you at this link.

https://www.paypal.com/donate/?campaign_id=5TFFWEFEA6JHA

Add 3% to my total amount to help cover the payment processing fees