2013 LIFE Runner Sign-Up (adults & kids)

First Name *

Last Name *

Birthdate *

Example: 10/16/1982

Gender *

Male

Female

Street Address *

City *

U.S. State or Other Country

Other Country

Zip Code

Phone Number

Email Address

Members will automatically be signed up to receive the weekday morning LIFE Group Devotions and LIFE Runners Updates. Join Facebook groups for LIFE Group Devotions, National LIFE Runners Team and your LIFE Runners Chapter.

Have you ordered your jersey?

To order your jersey, Click Here.

Yes (required)

Which local LIFE Runners Chapter are you joining? *

Would you like to start a new LIFE Runners Chapter (just need 5 runners/walkers)?

Yes

No

Each adult LIFE Runner is encouraged to raise or contribute at least $262 for Pro-Life beneficiaries (28 Aug to 6 Oct 2013). Team goal is $100,000.

Follow Guidance

Will Do

Will Try

Unable

What is the longest distance you have raced? *

2013 Crazy Horse 1K/5K/half/full Marathon (5-6 Oct, Black Hills, SD)?

Wear LIFE Runners jersey. Register at liferunners.org/crazy-horse-race.

2014 March for Life "Nellie Gray" 5K Run/Walk (8am, Wed, 22 Jan, East Potomac Park, DC)? *

Wear LIFE Runners jersey. Donation encouraged ($5 child, $20 adult, $50 family) at marchforlife.org

Yes

No

2014 A-Cross the Country Relay for Pro-Life (5 Mar to 13 Apr)? *

Wear LIFE Runners jersey. Register at liferunners.org/cross-country-relay/

Yes

No

2014 Air Force 1K/5K/half/full Marathon (20 Sep, Dayton, OH)?

Yes

No

Maybe

Did you complete a 2012 race in LIFE Runners jersey?

Yes

No

Did you complete a 2011 race in LIFE Runners jersey?

Yes

No

What is your Christian denomination?

How did you discover the National LIFE Runners Team?

Your feedback and suggestions are welcome...high five!

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