5K REGISTRATION
Fun Event for the Whole Family
SEPTEMBER 12, 2026
8th Annual
St John’s Salemville
Soul Stroll 5K
Name of Participant
*
Age On Race Day : 9/12/26
*
Please select one option.
10-14
15-19
20-29
30-39
40-49
50-59
60+
Gender
*
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Male
Female
Address
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Email
This address will receive a confirmation email
Phone
*
Shirt Size
*
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Adult S
Adult M
Adult L
Adult XL
Adult XXL
Child S
Child M
Child L
Select Option
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Child S
Child M
Child L
Race Type
*
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5K Walk Run
Vitual
Payment
In Person (25)
Virtual (25)
In Person (25)
Virtual (25)
Amount
REQUIRED : Consent & Release (Check)
*
Please select all that apply.
I understand the risks that may be involved with St. John’s Salemville Soul Stroll and willingly and voluntarily accept these risks. I grant permission to St. John’s to use photos/images/and /or quotes from me in accounts and promotion of the event.
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
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AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
Fun Event for the Whole Family
SEPTEMBER 12, 2026
8th Annual
St John’s Salemville
Soul Stroll 5K
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