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{{ 'FIRST-NAME' | translate}}

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No emails or URLs allowed

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No emails or URLs allowed

{{ 'IDENT.NAME_CHARS_LONG' | translate}}

{{ 'BIRTH-DATE' | translate}}

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{{ 'IDENT.SERIES_RACE_AGE_ERROR' | translate }}

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{{'REQUIRED_DATE_FORMAT' | translate:'{format: eventInfo.displayDateFormat}' }}

{{ 'GENDER' | translate}}

{{ 'REG-OPTION-GENDER-ERROR' | translate}}

{{ 'PRIMARY-PHONE' | translate}}

{{ 'PROVIDE-VALUE' | translate}}

{{ 'NOT-VALID-PHONE-NUMBER' | translate}}

{{ 'EMAIL' | translate}}

{{ 'EMAIL-CONFIRM' | translate}}

{{ 'PROVIDE-VALUE' | translate}}

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{{ 'SAME-EMAIL' | translate}}

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{{ 'ADDRESS' | translate }}

{{ 'COUNTRY' | translate}}

{{ 'PLEASE-PROVIDE-VALUE' | translate}}

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{{ 'PLEASE-PROVIDE-VALUE' | translate}}

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{{ 'CITY' | translate}}

{{ 'PLEASE-PROVIDE-VALUE' | translate}}

{{ 'STATE/REGION' | translate}}

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{{ 'EMERGENCY-CONTACT' | translate }}

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{{ 'RELATIONSHIP' | translate}}

{{ 'PHONE' | translate}}

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{{ 'NOT-VALID-PHONE-NUMBER' | translate}}

{{ 'CONTACT-CANNOT-BE-EVENT-P' | translate}}

{{ 'DATA-PRIVACY' | translate}}

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Waiver: Participating in the Moonlight 5K can be a serious threat to the health of participating individuals, especially those who have not trained or are not in excellent health. Those participating should check with their physician prior to participating in the Moonlight 5K.  Knowingly and at my own risk I am applying to enter the Moonlight 5K. I myself, my executors, administrators, heirs and assignees and anyone entitled to act on my behalf do hereby waive and release any and all actions, claims, injuries, demands, liabilities, loss damage or expenses of whatever kind and nature including, but not limited to attorneys fees which at any time may be incurred by reason of my participation in or my preparation for any of the aforesaid events as a result of my participating in the Moonlight 5K. I myself and anyone entitled to act on my behalf also do hereby waive and release any and all actions, claims, injuries, demands, liabilities, loss damage or expenses of whatever kind and nature against the Pines Community Wellness Center, the Northland Pines School District, the City of Eagle River, the Town of Lincoln, Vilas County, the State of Wisconsin, all sponsors or any employee, volunteers, officials or elected officials of these organizations. I assume all risks associated with participating in this event including, but not limited to falls, contact with other participants, the effects of the weather, darkness, route lighting, traffic and the conditions of the road, all such risks being known and appreciated by me. I further hereby certify that I have full knowledge of the risks involved in this event and I am physically fit and sufficiently trained to participate. If, however, as a result of my participation in the Moonlight 5K I require medical attention, I hereby give my consent to provide such medical care as is deemed necessary by race personnel.

Photo/Talent Release: I hereby irrevocably release, consent and authorize the Northland Pines School District and its agents to use my and/or my child’s photograph/likeness/voice, as it pertains to my and/or my child’s participation with the Moonlight 5K, in any manner for promotional efforts without expectation of or right to any reimbursement in connection with its use.

{{ 'MUST-AGREE' | translate}}

Individuals registered by June 15, 2017 will be guaranteed a moisture wicking t-shirt in the size indicated as well as a goodie bag. Individuals registered after June 15, 2017 will be provided with t-shirts and goodie bags as supplies allow. Women's small runs REALLY small.  Please choose size carefully.

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{{ 'REQUIRED' | translate }}

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SKU# {{product.sku}}
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All donations will go directly to the Pines Community Wellness Center for operational costs.


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{{ 'SUBTOTAL' | translate}} : {{cart.subtotal | currency:"$":currency.decimal}}
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{{ 'PROCESSING_FEE' | translate }} : {{cart.fee | currency:"$":currency.decimal}}
{{ 'SALES_FEE' | translate}} : {{cart.totalSales | currency:"$":currency.decimal}}
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{{customFee.description}} : {{customFee.price | currency:"$": currency.decimal}}
{{ 'PROCESSING_FEE' | translate }} : {{cart.lotteryFee | currency:"$":currency.decimal}}
{{ 'TOTAL_CHARGE_IF_SELECTED' | translate}} : {{cart.lotteryTotal | currency:"$": currency.decimal}}
{{ 'IF_SELECTED_CHECKOUT' | translate:cart}}

{{ 'PAYMENT-ERROR' | translate}}

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{{ 'NO-PAYMENT-REQUIRED' | translate }}
{{ 'MASTERPASS-TAGLINE' | translate }}

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{{ 'MASTERPASS-DESCRIPTION' | translate }}


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{{ 'NAME-ON-CARD' | translate }}

{{ 'REQUIRED' | translate }} {{ 'PAYMENT-NAME-MIN-LENGTH' | translate }}

{{ 'CARD-NUMBER' | translate }}
{{ 'EXPIRATION' | translate }}
{{ 'SECURITY-CODE' | translate }}
{{ 'POSTAL-CODE' | translate }}
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{{ 'REQUIRED' | translate }}

{{'SHIPPING-ADDRESS' | translate}}


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{{ 'ENTER_VALID_EMAIL' | translate }}

{{ 'LAST-NAME' | translate }}

{{ 'REQUIRED' | translate }}

{{ 'ENTER_VALID_EMAIL' | translate }}

{{ 'COUNTRY' | translate }}

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{{ 'POSTAL-CODE' | translate }}

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{{ 'ENTER_VALID_EMAIL' | translate }}

{{ 'STREET' | translate }}

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{{ 'ENTER_VALID_EMAIL' | translate }}

{{ 'CITY' | translate }}

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{{ 'EMAIL' | translate }}

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{{ 'ENTER_VALID_EMAIL' | translate }}

{{ 'REGION' | translate }}

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{{ 'PAYMENT-INFORMATION' | translate }}


{{ 'NAME-ON-CARD' | translate }}

{{ 'REQUIRED' | translate }} {{ 'PAYMENT-NAME-MIN-LENGTH' | translate }}

{{ 'CARD-NUMBER' | translate }}

{{ 'REQUIRED' | translate }} {{ 'INVALID-CREDIT-CARD-NUMBER' | translate }}

{{ 'EXPIRATION' | translate }}

{{ 'REQUIRED' | translate }} {{ 'INVALID-EXPIRATION-DATE' | translate }}

{{ 'SECURITY-CODE' | translate }} (CSC/CVC/CVV)

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Get your friends to join you
Have {{entryReferralData.goal}} friends sign up using the link below to receive {{entryReferralData.award | currency:"$"}}
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