Regent Centennial 5K Walk, 5K & 10K Run Registration

To register by mail, click here for printable form.

To register online, fill out form below and click submit. Registration fee will be collected at check-in the day of the race for those registering online.

Please enter all information below:
First Name:
Last Name:
Address:
City:		State:	Zip:
Phone:
E-mail:
Gender:	Male Female
Select Your Event:
Select Age on Race Day:
Select T-Shirt Size:
Comments: