Pumpkin Roll Fun Run

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Event will take place October 26, 2024 beginning at 8am.
in Agra, Oklahoma. Please register by October 14, to be guaranteed a shirt.

Standard Entry Fee: $25 (includes t-shirt & medal)
Kid's Entry Fee: $10.00 17 & U (includes medal, no t-shirt)

COSTUMES ENCOURAGED, BUT NOT REQUIRED!

Pumpkin Roll 5K Fun Run
Each runner must have a registration, no combined registrations.

Name

Phone

Run Date *

October 26, 2024

ENTRY TYPE * Required

Standard Entry $25 - Includes T-Shirt & Medal

Optional Entry $10 - Includes Medal

T-SHIRT SIZE

Adult Small

Adult Medium

Adult Large

Adult XL

Adult 2XL

Adult 3XL

Adult 4XL

Youth Small

Youth Medium

Youth Large

Youth XL

Do not select a shirt size if you choose the optional entry.

PAYMENT METHOD * Required

Cash - Contact Kimberly Sweet - 918-906-6386 to arrange for payment.

Check - Make checks payable to Agra Community Enhancement * See Below

Paypal - If paying by paypal please click "buy now" button below and complete payment prior to submitting form.

CashApp - $agraACE

* Make checks payable to Agra Community Enhancement. You may mail to: 316 W Grant, Agra, OK 74824 or drop off at Creative Girl Designs at 316 W Grant Street, Agra (drop slot by the front door)

Please agree to terms & conditions.

In submitting this entry form, I acknowledge I am assuming full and complete responsibility for any injury or accident, which may occur to me during the AGRA 5K PUMPKIN ROLL or while I am on the premises of AGRA HIGH SCHOOL. I hereby release and hold harmless the sponsors and all of the persons and entities associated with the AGRA 5K PUMPKIN ROLL from liability for injuries and damages sustained by me including AGRA COMMUNITY ENHANCEMENT GROUP, AGRA HIGH SCHOOL and the town of AGRA, OK. I understand that there is an inherent risk in entering any run in the public domain and I assume the risk. I grant permission to AGRA COMMUNITY ENHANCEMENT GROUP to use any, photograph, or any other record of this event for any purpose whatsoever, including the press. I understand that pets are not allowed on the course.

I accept terms & conditions

Thanks for submitting!

PAYMENT RECEIVED

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Event will take place October 26, 2024 beginning at 8am. in Agra, Oklahoma. Please register by October 14, to be guaranteed a shirt. Standard Entry Fee: $25 (includes t-shirt & medal) Kid's Entry Fee: $10.00 17 & U (includes medal, no t-shirt) **COSTUMES ENCOURAGED, BUT NOT REQUIRED!**

Pumpkin Roll 5K Fun Run Each runner must have a registration, no combined registrations.

Do not select a shirt size if you choose the optional entry.

* Make checks payable to Agra Community Enhancement. You may mail to: 316 W Grant, Agra, OK 74824 or drop off at Creative Girl Designs at 316 W Grant Street, Agra (drop slot by the front door)

Please agree to terms & conditions.

Event will take place October 26, 2024 beginning at 8am.
in Agra, Oklahoma. Please register by October 14, to be guaranteed a shirt.

Standard Entry Fee: $25 (includes t-shirt & medal)
Kid's Entry Fee: $10.00 17 & U (includes medal, no t-shirt)

COSTUMES ENCOURAGED, BUT NOT REQUIRED!

Pumpkin Roll 5K Fun Run
Each runner must have a registration, no combined registrations.