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O'Round the Loch Run Registration Form

The O'Round the Loch Run will be held Saturday, March 17, 2012

 
Preregistration:
Please complete the registration form below. You are required to mail in your registration fee via regular mail or call with your credit card information.

Questions may be e-mailed to:
swellness@iowalakes.edu

Send check to:
Iowa Lakes Community College
Attn. Angie Roethler
3200 College Drive
Emmetsburg, IA 50536
Phone: 1-800-242-5108 ext. 5201 or (712) 852-5201. 

Indicates a Required Field
Last Name:
First Name:
Middle Initial:
Street Address:
City:
State:
Zip:
Email Address:
Phone Number:
Gender:  Male
 Female
Age:
T-shirt Size (check one):
 Adult S
 Adult M
 Adult L
 Adult XL
 Adult XXL
Events:
 1.7 Mile Fun Run/Walk $25
 5 Kilometer Run $25
 10 Kilometer Run $25
 13.1 Mile Race $25
 13.1 Mile Relay Team of 4 $100. ($25/person)
Team Name:
Team Members: (List in Order Running):
Verification Code: Please enter the letters and numbers you
see on the image into the text box below.



Questions or comments? Please email us at info@iowalakes.edu or call 712-362-2604 or 800-521-5054.
Copyright © 1996 - 2012 by Iowa Lakes Community College. All rights reserved.