LUEY 2009

Online Registration

Please make sure that your email address is typed correctly as we do send a confirmation email to the addy you provide.

First Name *
Last Name *
Mailing Address *
City *
County
State *
Zip Code *
Home Phone *
E-mail Address: *
Secondary Phone
Club Affiliation, If any
I certify that I am at least 21 years of age. *
Would you like to order a run shirt for $15.00?
SizeSmall
Medium
Large
Extra large
2XL
3XL
4XL
Please remember that if you live in the following counties (Harris, Brazoria, Chambers, Fort Bend, Galveston, Liberty, Montgomery or Waller) the run cost is $15.00. Also if you order a shirt there is an addition cost of $15.00
* Required

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