Step 2 of 4 (Registration Form)

Red White and Blessed 5K Run/Walk
Purchase a T-shirt Only

Saturday, June 29, 2024 in Platte Center, NE at Platte Center Park

Please enter your registration information in the form below. When you are finished, click the "Proceed to Confirmation Page" button to continue. Required fields are marked with a *.

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Contact Information

T-shirt Selection

:
  • 3T T-Shirt
  • 4T T-Shirt
  • youth extra-small T-Shirt
  • youth small T-Shirt T-Shirt or Tank
  • youth medium T-Shirt or Tank
  • small T-Shirt or Tank
  • medium T-Shirt or Tank
  • large T-Shirt or Tank

Questions & Add ons

Shirt Type Selection



Please Consider Making An Additional Optional Donation To St. Johns Lutheran Education Fund .

The funds raised at this event will be used for the St. Johns Lutheran School & daycare programs and other special projects that will benefit all students in Christ.







Other Donation Amount:

Second Shirt Recipient's Personal Information

Do you want to add a second shirt recipient?



Please enter the requested information about you (or the person for whom you are registering). Be sure the contact details are correct so that we can provide important, registration-related information.

  • male
  • female

Address Information

T-shirt Selection

:
  • 3T T-Shirt
  • 4T T-Shirt
  • youth extra-small T-Shirt
  • youth small T-Shirt T-Shirt or Tank
  • youth medium T-Shirt or Tank
  • small T-Shirt or Tank
  • medium T-Shirt or Tank
  • large T-Shirt or Tank

Questions & Add ons

Shirt Type Selection



Please Consider Making An Additional Optional Donation To St. Johns Lutheran Education Fund .

The funds raised at this event will be used for the St. Johns Lutheran School & daycare programs and other special projects that will benefit all students in Christ.







Other Donation Amount:

Third Shirt Recipient's Personal Information

Do you want to add a third shirt recipient?



Please enter the requested information about you (or the person for whom you are registering). Be sure the contact details are correct so that we can provide important, registration-related information.

  • male
  • female

Address Information

T-shirt Selection

:
  • 3T T-Shirt
  • 4T T-Shirt
  • youth extra-small T-Shirt
  • youth small T-Shirt T-Shirt or Tank
  • youth medium T-Shirt or Tank
  • small T-Shirt or Tank
  • medium T-Shirt or Tank
  • large T-Shirt or Tank

Questions & Add ons

Shirt Type Selection



Please Consider Making An Additional Optional Donation To St. Johns Lutheran Education Fund .

The funds raised at this event will be used for the St. Johns Lutheran School & daycare programs and other special projects that will benefit all students in Christ.







Other Donation Amount:

Fourth Shirt Recipient's Personal Information

Do you want to add a fourth shirt recipient?



Please enter the requested information about you (or the person for whom you are registering). Be sure the contact details are correct so that we can provide important, registration-related information.

  • male
  • female

Address Information

T-shirt Selection

:
  • 3T T-Shirt
  • 4T T-Shirt
  • youth extra-small T-Shirt
  • youth small T-Shirt T-Shirt or Tank
  • youth medium T-Shirt or Tank
  • small T-Shirt or Tank
  • medium T-Shirt or Tank
  • large T-Shirt or Tank

Questions & Add ons

Shirt Type Selection



Please Consider Making An Additional Optional Donation To St. Johns Lutheran Education Fund .

The funds raised at this event will be used for the St. Johns Lutheran School & daycare programs and other special projects that will benefit all students in Christ.







Other Donation Amount:

Fifth Shirt Recipient's Personal Information

Do you want to add a fifth shirt recipient?



Please enter the requested information about you (or the person for whom you are registering). Be sure the contact details are correct so that we can provide important, registration-related information.

  • male
  • female

Address Information

T-shirt Selection

:
  • 3T T-Shirt
  • 4T T-Shirt
  • youth extra-small T-Shirt
  • youth small T-Shirt T-Shirt or Tank
  • youth medium T-Shirt or Tank
  • small T-Shirt or Tank
  • medium T-Shirt or Tank
  • large T-Shirt or Tank

Questions & Add ons

Shirt Type Selection



Please Consider Making An Additional Optional Donation To St. Johns Lutheran Education Fund .

The funds raised at this event will be used for the St. Johns Lutheran School & daycare programs and other special projects that will benefit all students in Christ.







Other Donation Amount:

Sixth Shirt Recipient's Personal Information

Do you want to add a sixth shirt recipient?



Please enter the requested information about you (or the person for whom you are registering). Be sure the contact details are correct so that we can provide important, registration-related information.

  • male
  • female

Address Information

T-shirt Selection

:
  • 3T T-Shirt
  • 4T T-Shirt
  • youth extra-small T-Shirt
  • youth small T-Shirt T-Shirt or Tank
  • youth medium T-Shirt or Tank
  • small T-Shirt or Tank
  • medium T-Shirt or Tank
  • large T-Shirt or Tank

Questions & Add ons

Shirt Type Selection



Please Consider Making An Additional Optional Donation To St. Johns Lutheran Education Fund .

The funds raised at this event will be used for the St. Johns Lutheran School & daycare programs and other special projects that will benefit all students in Christ.







Other Donation Amount:

Payment Information

Please enter your billing information. The credit card type will be determined automatically. Your information will be processed over a secure, encrypted connection. Once you have finished registering, GetMeRegistered.com will not store your credit card details.

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  • Cocos (keeling) Islands
  • Colombia
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  • Congo, The Democratic Republic Of The
  • Cook Islands
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  • Gibraltar
  • Greece
  • Greenland
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  • Guadeloupe
  • Guam
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  • Guinea-bissau
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  • New Caledonia
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  • Niger
  • Nigeria
  • Niue
  • Norfolk Island
  • Northern Mariana Islands
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  • Pakistan
  • Palau
  • Palestinian Territory, Occupied
  • Panama
  • Papua New Guinea
  • Paraguay
  • Peru
  • Philippines
  • Pitcairn
  • Poland
  • Portugal
  • Puerto Rico
  • Qatar
  • Reunion
  • Romania
  • Russian Federation
  • Rwanda
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  • Saint Kitts and Nevis
  • Saint Lucia
  • Saint Pierre and Miquelon
  • Saint Vincent and The Grenadines
  • Samoa
  • San Marino
  • Sao Tome and Principe
  • Saudi Arabia
  • Senegal
  • Serbia and Montenegro
  • Seychelles
  • Sierra Leone
  • Singapore
  • Slovakia
  • Slovenia
  • Solomon Islands
  • Somalia
  • South Africa
  • South Georgia and The South Sandwich Islands
  • Spain
  • Sri Lanka
  • Sudan
  • Suriname
  • Svalbard and Jan Mayen
  • Swaziland
  • Sweden
  • Switzerland
  • Syrian Arab Republic
  • Taiwan
  • Tajikistan
  • Tanzania, United Republic Of
  • Thailand
  • Timor-Leste
  • Togo
  • Tokelau
  • Tonga
  • Trinidad and Tobago
  • Tunisia
  • Turkey
  • Turkmenistan
  • Turks and Caicos Islands
  • Tuvalu
  • Uganda
  • Ukraine
  • United Arab Emirates
  • United Kingdom
  • United States
  • United States Minor Outlying Islands
  • Uruguay
  • Uzbekistan
  • Vanuatu
  • Venezuela
  • Viet Nam
  • Virgin Islands, British
  • Virgin Islands, U.s.
  • Wallis and Futuna
  • Western Sahara
  • Yemen
  • Zambia
  • Zimbabwe
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  • District of Columbia
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