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5K Run Registration


Registration form for entry into the 5K run and donations for Hayden Blonquist.
First Name:*
Last Name:*
Address:*
Phone:*
Email:*
T-Shirt Size:*
Once you submit your registration you will be taken to the payment page where you can pay the registration fees and/or make a donation online.

If you would like to register or donate in person please visit the Coalville City Office @ 10 N. Main St. during business hours.

If you would like to make a donation online to Hayden Blonquist's Fight against Leukemia directly without registering for the 5K, please feel free to donate here.
Coalville City – 10 No. Main, P.O. Box 188 Coalville, Utah 84017 (435) 336-5981 Fax (435) 336-2062