events.elitefeats.com
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urlscan Pro
104.18.23.85
Public Scan
URL:
https://events.elitefeats.com/24bb5k
Submission Tags: falconsandbox
Submission: On June 14 via api from US — Scanned from DE
Submission Tags: falconsandbox
Submission: On June 14 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
<form autocomplete="off" novalidate="">
<div class="field-html header-field">
<div class="html"><br>
</div>
</div>
<div class="field-html header-field">
<div class="html">
<div class="ef-flex-container" style="display:flex;align-items:center;justify-content:center">
<!-- -->
<div class="ef-flex-item">
<!-- --> <a href="#info" class="btn-primary btn ef-flex-button">EVENT<!-- --> <!-- -->INFO</a>
</div>
</div>
</div>
</div>
<div class="field-textParagraph header-field">
<div class="form-width fr-view label-align">
<hr>
<h1 style="text-align:center"><span style="font-size:30px"><img src="https://s3.amazonaws.com/uploads.webconnex.com/73%2F1704825182454-bellport+bib.jpg" style="width:300px" class="fr-fic fr-dib">"BB5K"</span></h1>
<h2 style="text-align:center">July<!-- --> <!-- -->14,<!-- --> <!-- -->2024<br>5PM<!-- --> <!-- -->5K<!-- --> <!-- -->Start<!-- --> <!-- -->Rain<!-- --> <!-- -->or<!-- --> <!-- -->Shine<br>4:30PM<!-- --> <!-- -->Free<!-- -->
<!-- -->Kids<!-- --> <!-- -->Fun<!-- --> <!-- -->Run<br>Bellport,<!-- --> <!-- -->NY</h2>
</div>
</div>
<div class="field-textParagraph header-field">
<div class="form-width fr-view label-align">
<p style="text-align:center"><strong><span style="font-size:24px">*<!-- --> <!-- -->Strollers<!-- --> <!-- -->are<!-- --> <!-- -->not<!-- --> <!-- -->allowed<!-- --> <!-- -->on<!-- --> <!-- -->the<!-- --> <!-- -->course<!-- -->
<!-- -->*</span></strong></p>
</div>
</div>
<div id="top"></div>
<section id="registrants" class="registrant-info">
<div>
<div id="registrant-0" class="registrant multi-reg"><input type="checkbox" id="toggle-registrant-0" class="accordion-toggle" aria-hidden="true">
<div class="director-registrant">
<div id="register-now" class="field-textParagraph registrant-field field-registrant-0">
<div class="form-width fr-view label-align">
<hr style="margin-top:-3%">
<h2>REGISTER</h2>
<p>Free<!-- --> <!-- -->Kids<!-- --> <!-- -->Fun<!-- --> <!-- -->Run<!-- --> <!-- -->does<!-- --> <!-- -->not<!-- --> <!-- -->require<!-- --> <!-- -->any<!-- --> <!-- -->registration<!-- --> <!-- -->-<!-- --> <!-- -->4:30pm<!-- -->
<!-- -->meet-up<!-- --> <!-- -->on<!-- --> <!-- -->the<!-- --> <!-- -->corner<!-- --> <!-- -->of<!-- --> <!-- -->Hulse<!-- --> <!-- -->St.<!-- --> <!-- -->and<!-- --> <!-- -->Bellport<!-- --> <!-- -->Lane.</p>
</div>
</div>
<div class="field-regOptions registrant-field field-registrant-1">
<div class="multipleChoice"><label for="x03fa6ea06a4acf868d56" class="must-show">Registration Options<span class="required-field" aria-hidden="true">*</span></label>
<div class="field-area">
<ul class="list-radio">
<li style="clear:left"><label class="must-show"><input type="radio" id="x03fa6ea06a4acf868d56_0" value="169f24d1-7ed7-5a5a-aa04-e46763c3c39e" name="x03fa6ea06a4acf868d56" required=""> <!-- -->5K Run/Walk<!-- --> ($30.00)</label>
<p class="description">Your<!-- --> <!-- -->name<!-- --> <!-- -->on<!-- --> <!-- -->your<!-- --> <!-- -->bib<!-- --> <!-- -->three<!-- --> <!-- -->weeks<!-- --> <!-- -->before<!-- --> <!-- -->race<!-- -->
<!-- -->day<br>Price<!-- --> <!-- -->increases<!-- --> <!-- -->to<!-- --> <!-- -->$35<!-- --> <!-- -->on<!-- --> <!-- -->6/23,<!-- --> <!-- -->$40<!-- --> <!-- -->on<!-- --> <!-- -->Race<!-- --> <!-- -->Day</p>
</li>
</ul>
</div>
</div>
</div>
<div class="field-checkbox registrant-field field-registrant-2">
<div>
<div class="field-area offset" style="text-align:match-parent"><label class="must-show flex"><input type="checkbox"> <!-- -->SPONSOR THE RUN</label>
<p class="description">If<!-- --> <!-- -->you<!-- --> <!-- -->or<!-- --> <!-- -->your<!-- --> <!-- -->business<!-- --> <!-- -->would<!-- --> <!-- -->like<!-- --> <!-- -->to<!-- --> <!-- -->support<!-- --> <!-- -->the<!-- -->
<!-- -->run<!-- --> <!-- -->please<!-- --> <!-- -->see<!-- --> <!-- -->the<!-- --> <!-- -->sponsorship<!-- --> <!-- -->opportunities<!-- --> <!-- -->by<!-- --> <!-- -->checking<!-- --> <!-- -->this<!-- -->
<!-- -->box.<br>Uncheck<!-- --> <!-- -->this<!-- --> <!-- -->box<!-- --> <!-- -->to<!-- --> <!-- -->register<!-- --> <!-- -->for<!-- --> <!-- -->the<!-- --> <!-- -->run/walk.</p>
</div>
</div>
</div>
<div class="field-checkbox registrant-field field-registrant-3">
<div>
<div class="field-area offset" style="text-align:match-parent"><label class="must-show flex"><input type="checkbox"> <!-- -->DONATION ONLY</label>
<p class="description">Uncheck<!-- --> <!-- -->this<!-- --> <!-- -->box<!-- --> <!-- -->to<!-- --> <!-- -->register<!-- --> <!-- -->for<!-- --> <!-- -->the<!-- --> <!-- -->run/walk.</p>
</div>
</div>
</div>
<div class="field-checkbox registrant-field field-registrant-4">
<div>
<div class="field-area offset" style="text-align:match-parent"><label class="must-show flex"><input type="checkbox"> <!-- -->BUY RAFFLE TICKETS ONLY</label>
<p class="description">Uncheck<!-- --> <!-- -->this<!-- --> <!-- -->box<!-- --> <!-- -->to<!-- --> <!-- -->register<!-- --> <!-- -->for<!-- --> <!-- -->the<!-- --> <!-- -->run/walk.</p>
</div>
</div>
</div>
<div class="field-textParagraph registrant-field field-registrant-5">
<div class="form-width fr-view label-align">
<hr>
<!-- -->
<h2><span style="font-size:22px">PARTICIPANT<!-- --> <!-- -->INFO</span></h2>
</div>
</div>
<div class="field-copyRegInfo registrant-field field-registrant-6"></div>
<div class="field-name registrant-field field-registrant-7">
<div class="name sub-field"><label for="x53204a9339e5964ecb4f_firstName">NAME<span class="required-field" aria-hidden="true">*</span></label>
<div class="field-area multi-field"><input type="text" id="x53204a9339e5964ecb4f_firstName" placeholder="First Name" aria-label="First Name" value="" required="" class="first"><input type="text" id="x53204a9339e5964ecb4f_lastName"
placeholder="Last Name" aria-label="Last Name" value="" required="" class="last"></div>
</div>
</div>
<div class="field-address registrant-field field-registrant-8">
<div class="address holds-address">
<div class="sub-field"><label for="x397d1bbd4ef65b4aedc9_street1">SHIPPING ADDRESS<span class="required-field" aria-hidden="true">*</span></label>
<div class="field-area"><input type="text" id="x397d1bbd4ef65b4aedc9_street1" placeholder="Street Address" aria-label="Street Address" value="" required="" class="street1 form-control long full-width"></div>
</div>
<div class="sub-field">
<div class="field-area multi-field offset"><input type="text" id="x397d1bbd4ef65b4aedc9_city" placeholder="City" aria-label="City" value="" required="" class="city"><select id="x397d1bbd4ef65b4aedc9_region" class="state"
aria-label="State" required="">
<option selected="" value="">State</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
<option value="AA">AA</option>
<option value="AE">AE</option>
<option value="AP">AP</option>
</select><input type="text" id="x397d1bbd4ef65b4aedc9_postalCode" placeholder="ZIP Code" aria-label="ZIP Code" value="" required="" class="zip postalCode"></div>
</div>
</div>
</div>
<div class="field-email registrant-field field-registrant-9">
<div class="email"><label for="x059121b79085e66391f0">EMAIL<span class="required-field" aria-hidden="true">*</span></label>
<div class="field-area"><input type="email" id="x059121b79085e66391f0" placeholder="myemail@email.com" value="" required="" class="long"></div>
</div>
</div>
<div class="field-phone registrant-field field-registrant-10">
<div class="phone"><label for="x262fee5d96354a5a910b">CELL<span class="required-field" aria-hidden="true">*</span></label>
<div class="field-area multi-field"><input type="tel" id="x262fee5d96354a5a910b" autocomplete="tel" value="" required="" class=""></div>
</div>
</div>
<div class="field-quantityBox registrant-field field-registrant-11">
<div class="quantity-box"><label for="x7270c39b822a310bb1e8" class="must-show">AGE ON RACE DAY<span class="required-field" aria-hidden="true">*</span></label>
<div class="field-area multi-field"><input type="number" id="x7270c39b822a310bb1e8" min="1" max="99" value="" required="" class=""></div>
</div>
</div>
<div class="field-multipleChoice registrant-field field-registrant-12">
<div class="multipleChoice"><label for="x39cb3e21c9b65ecb6142" class="must-show">GENDER<span class="required-field" aria-hidden="true">*</span></label>
<div class="field-area">
<ul class="list-radio">
<li style="clear:left"><label class="must-show"><input type="radio" id="x39cb3e21c9b65ecb6142_0" value="987bc52c-d6ba-5f66-a15d-1b5162d981f6" name="x39cb3e21c9b65ecb6142" required=""> <!-- -->Male</label></li>
<li style="clear:left"><label class="must-show"><input type="radio" id="x39cb3e21c9b65ecb6142_1" value="7edbc33d-383d-5e5e-b331-b65724238131" name="x39cb3e21c9b65ecb6142" required=""> <!-- -->Female</label></li>
</ul>
</div>
</div>
</div>
<div class="field-multipleChoice registrant-field field-registrant-13">
<div class="multipleChoice"><label for="x81b64dd7e7b0e05e5ce7" class="must-show">T-Shirt Size (Sizes not guaranteed!)<span class="required-field" aria-hidden="true">*</span></label>
<div class="field-area"><select id="x81b64dd7e7b0e05e5ce7" required="" class="">
<option selected="" value="">(Choose One)</option>
<option value="b2486a55-56fb-5d03-8598-7eb39a2da1dd">No, thanks!</option>
<option value="dfb3f602-b5d2-59b7-9894-e7e29ff6b827">S</option>
<option value="e3582810-7dbe-5fc3-92e3-c54c71c96048">M</option>
<option value="d60581d1-825c-50b7-9654-66f0dabff89e">L</option>
<option value="70435545-8ff2-5e59-94d1-7431a14dfeb7">XL</option>
</select></div>
</div>
</div>
<div class="field-multipleChoice registrant-field field-registrant-14">
<div class="multipleChoice"><label for="xceab36ac6e7a549262a8" class="must-show">How did you hear about registration this year?<span class="required-field" aria-hidden="true">*</span></label>
<div class="field-area"><select id="xceab36ac6e7a549262a8" required="" class="">
<option selected="" value="">(Choose One)</option>
<option value="aa9b8304-d5eb-5c4e-8a69-7a6e839daef3">elitefeats</option>
<option value="aa1f660a-9298-5919-8337-d6a1ab1dc8f5">elitefeats Bib (back of bib)</option>
<option value="f0ace056-2724-58e6-90b6-f58e632dd711">elitefeats Email Announcement</option>
<option value="51a85df0-58d5-5d8d-8844-18b95ca990d6">Event Website</option>
<option value="de7f25ec-1b0a-5491-bdab-eb6b0901f1cf">Facebook</option>
<option value="1cbbbe30-d862-533b-a908-5ca58577e50e">Flyer</option>
<option value="a7598fac-fdb2-5293-a47c-3040ac80c75f">Friend</option>
<option value="3b808f36-f635-5bc9-9529-ec5b25bdfc26">Other</option>
</select></div>
</div>
</div>
<div class="field-textParagraph registrant-field field-registrant-15">
<div class="form-width fr-view label-align">
<hr>
<h2>RAFFLE<!-- --> <!-- -->TICKETS</h2>
</div>
</div>
<div class="field-textParagraph registrant-field field-registrant-16">
<div class="form-width fr-view label-align">
<p><strong><span style="font-size:18px">Win<!-- --> <!-- -->a<!-- --> <!-- -->pair<!-- --> <!-- -->of<!-- --> <!-- -->Hoka<!-- --> <!-- -->shoes!</span></strong></p>
</div>
</div>
<div class="field-quantityBox registrant-field field-registrant-17">
<div class="quantity-box"><label for="x6a68c1763c0e04befa02" class="must-show">1 Raffle Ticket for Men's Pair of Hoka's</label>
<div class="field-area multi-field"><input type="number" id="x6a68c1763c0e04befa02" min="0" value="" class=""><span><i> ($10.00/ea.)</i></span></div>
</div>
</div>
<div class="field-quantityBox registrant-field field-registrant-18">
<div class="quantity-box"><label for="x501ed69c97aef593c03f" class="must-show">1 Raffle Ticket for Women's Pair of Hoka's</label>
<div class="field-area multi-field"><input type="number" id="x501ed69c97aef593c03f" min="0" value="" class=""><span><i> ($10.00/ea.)</i></span></div>
</div>
</div>
<div class="field-subtotal registrant-field field-registrant-19">
<div class="holds-subtotal">
<div class="label-like">Sub Total</div>
<div class="field-area">$0.00</div>
</div>
</div>
<div class="field-textParagraph registrant-field field-registrant-20">
<div class="form-width fr-view label-align">
<hr>
<!-- -->
<h2><span style="font-size:22px">JOIN<!-- --> <!-- -->OR<!-- --> <!-- -->CREATE<!-- --> <!-- -->A<!-- --> <!-- -->TEAM<!-- --> <!-- -->(OPTIONAL)</span></h2>
</div>
</div>
<div class="field-teamField registrant-field field-registrant-21">
<div>
<p class="text-center">Form a Team with friends or family! This is optional and may not have any affiliated awards.</p>
<div class="offset field-area team-settings">
<div class="join-create-selector"><button type="button" class="btn btn-primary" value="join">Join a Team</button><button type="button" class="btn btn-primary" value="create">Create a Team</button></div>
</div>
</div>
</div>
<div class="field-textParagraph registrant-field field-registrant-22">
<div class="form-width fr-view label-align">
<hr>
<h2>THANK<!-- --> <!-- -->YOU<!-- --> <!-- -->FOR<!-- --> <!-- -->YOUR<!-- --> <!-- -->ADDITIONAL<!-- --> <!-- -->SUPPORT</h2>
<p>All<!-- --> <!-- -->proceeds<!-- --> <!-- -->from<!-- --> <!-- -->race<!-- --> <!-- -->registrations<!-- --> <!-- -->and<!-- --> <!-- -->tax-deductible<!-- --> <!-- -->sponsorships,<!-- --> <!-- -->after<!-- -->
<!-- -->race-related<!-- --> <!-- -->expenses,<!-- --> <!-- -->will<!-- --> <!-- -->go<!-- --> <!-- -->to<!-- --> <!-- -->benefit<!-- --> <!-- -->the<!-- --> <!-- -->BVPF.<!-- --> <!-- -->The<!-- --> <!-- -->Bellport<!-- -->
<!-- -->Village<!-- --> <!-- -->Program<!-- --> <!-- -->Fund<!-- --> <!-- -->is<!-- --> <!-- -->a<!-- --> <!-- -->not-for-profit<!-- --> <!-- -->organization<!-- --> <!-- -->to<!-- --> <!-- -->improve<!-- --> <!-- -->the<!-- -->
<!-- -->experience<!-- --> <!-- -->of<!-- --> <!-- -->residents<!-- --> <!-- -->and<!-- --> <!-- -->youths<!-- --> <!-- -->to<!-- --> <!-- -->benefit<!-- --> <!-- -->all<!-- --> <!-- -->of<!-- --> <!-- -->the<!-- -->
<!-- -->residents<!-- --> <!-- -->of<!-- --> <!-- -->Bellport.<!-- --> <a href="http://www.riverheadrunningclub.org/pdf/apply.pdf" target="_blank"></a></p>
</div>
</div>
<div class="field-donationField registrant-field field-registrant-23">
<div class="donation-field">
<div>
<div class="holds-amounts"><label class="must-show">Suggested Amounts:</label>
<div class="field-area">
<fieldset rel="screen-reader">
<legend rel="screen-reader">Suggested Amounts</legend>
<ul class="suggest-amounts suggested-button">
<li><label class="must-show"><input type="radio" id="x8f80250107b310f8c418_amount0_0" value="0" name="x8f80250107b310f8c418_amount0_r"> <span>$5</span></label></li>
<li><label class="must-show"><input type="radio" id="x8f80250107b310f8c418_amount0_1" value="1" name="x8f80250107b310f8c418_amount0_r"> <span>$10</span></label></li>
<li><label class="must-show"><input type="radio" id="x8f80250107b310f8c418_amount0_2" value="2" name="x8f80250107b310f8c418_amount0_r"> <span>$25</span></label></li>
<li><label class="must-show"><input type="radio" id="x8f80250107b310f8c418_amount0_other" value="3" name="x8f80250107b310f8c418_amount0_r"> <span>Other</span></label></li>
</ul>
</fieldset>
</div>
</div>
</div>
</div>
</div>
<div class="field-textParagraph registrant-field field-registrant-24">
<div class="form-width fr-view label-align">
<hr>
<h2>READ<!-- --> <!-- -->&<!-- --> <!-- -->INITIAL<!-- --> <!-- -->TO<!-- --> <!-- -->AGREE</h2>
<p>Registration<!-- --> <!-- -->fees<!-- --> <!-- -->are<!-- --> <!-- -->used<!-- --> <!-- -->toward<!-- --> <!-- -->race<!-- --> <!-- -->expenses<!-- --> <!-- -->and<!-- --> <!-- -->cannot<!-- --> <!-- -->be<!-- -->
<!-- -->returned<!-- --> <!-- -->once<!-- --> <!-- -->you<!-- --> <!-- -->sign<!-- --> <!-- -->up.</p>
</div>
</div>
<div class="field-tos registrant-field field-registrant-25">
<div><label class="must-show">Terms & Agreements<span class="required-field" aria-hidden="true">*</span></label>
<div class="field-area">
<div class="holds-terms-text">ALL<!-- --> <!-- -->FEES<!-- --> <!-- -->ARE<!-- --> <!-- -->NON-REFUNDABLE<br><br>Nor<!-- --> <!-- -->are<!-- --> <!-- -->they<!-- --> <!-- -->transferable<!-- --> <!-- -->from<!-- -->
<!-- -->year<!-- --> <!-- -->to<!-- --> <!-- -->year.<!-- --> <!-- -->Once<!-- --> <!-- -->you<!-- --> <!-- -->are<!-- --> <!-- -->signed<!-- --> <!-- -->up,<!-- --> <!-- -->race<!-- --> <!-- -->fees<!-- --> <!-- -->are<!-- -->
<!-- -->used<!-- --> <!-- -->for<!-- --> <!-- -->race<!-- --> <!-- -->expenses<!-- --> <!-- -->and<!-- --> <!-- -->cannot<!-- --> <!-- -->be<!-- --> <!-- -->returned.<br><br>In<!-- --> <!-- -->consideration<!-- -->
<!-- -->of<!-- --> <!-- -->accepting<!-- --> <!-- -->this<!-- --> <!-- -->entry,<!-- --> <!-- -->I<!-- --> <!-- -->understand<!-- --> <!-- -->and<!-- --> <!-- -->agree<!-- --> <!-- -->to<!-- --> <!-- -->be<!-- -->
<!-- -->legally<!-- --> <!-- -->bound<!-- --> <!-- -->hereby<!-- --> <!-- -->for<!-- --> <!-- -->myself,<!-- --> <!-- -->my<!-- --> <!-- -->heirs,<!-- --> <!-- -->executors,<!-- --> <!-- -->administrators,<!-- -->
<!-- -->successors<!-- --> <!-- -->and<!-- --> <!-- -->waive,<!-- --> <!-- -->release<!-- --> <!-- -->and<!-- --> <!-- -->hold<!-- --> <!-- -->harmless<!-- --> <!-- -->Bellport<!-- --> <!-- -->Village,<!-- -->
<!-- -->Bellport<!-- --> <!-- -->Bay<!-- --> <!-- -->5K<!-- --> <!-- -->Run/Walk,<!-- --> <!-- -->elitefeats<!-- --> <!-- -->inc.,<!-- --> <!-- -->and<!-- --> <!-- -->any<!-- --> <!-- -->volunteers<!-- --> <!-- -->and<!-- -->
<!-- -->all<!-- --> <!-- -->race<!-- --> <!-- -->sponsors<!-- --> <!-- -->and<!-- --> <!-- -->their<!-- --> <!-- -->agents,<!-- --> <!-- -->employees<!-- --> <!-- -->and<!-- --> <!-- -->representatives<!-- --> <!-- -->for<!-- -->
<!-- -->any<!-- --> <!-- -->and<!-- --> <!-- -->all<!-- --> <!-- -->injuries,<!-- --> <!-- -->claims,<!-- --> <!-- -->liabilities<!-- --> <!-- -->and<!-- --> <!-- -->causes<!-- --> <!-- -->of<!-- --> <!-- -->action<!-- -->
<!-- -->related<!-- --> <!-- -->to<!-- --> <!-- -->my<!-- --> <!-- -->participation<!-- --> <!-- -->in<!-- --> <!-- -->this<!-- --> <!-- -->event.<!-- --> <!-- -->I<!-- --> <!-- -->attest<!-- --> <!-- -->that<!-- -->
<!-- -->I<!-- --> <!-- -->am<!-- --> <!-- -->physically<!-- --> <!-- -->fit<!-- --> <!-- -->and<!-- --> <!-- -->have<!-- --> <!-- -->sufficiently<!-- --> <!-- -->trained<!-- --> <!-- -->for<!-- --> <!-- -->the<!-- -->
<!-- -->completion<!-- --> <!-- -->of<!-- --> <!-- -->this<!-- --> <!-- -->event<!-- --> <!-- -->and<!-- --> <!-- -->that<!-- --> <!-- -->my<!-- --> <!-- -->condition<!-- --> <!-- -->has<!-- --> <!-- -->been<!-- -->
<!-- -->verified<!-- --> <!-- -->by<!-- --> <!-- -->a<!-- --> <!-- -->licensed<!-- --> <!-- -->medical<!-- --> <!-- -->doctor.<!-- --> <!-- -->I<!-- --> <!-- -->further<!-- --> <!-- -->grant<!-- --> <!-- -->permission<!-- -->
<!-- -->to<!-- --> <!-- -->any<!-- --> <!-- -->of<!-- --> <!-- -->the<!-- --> <!-- -->foregoing<!-- --> <!-- -->organizations<!-- --> <!-- -->to<!-- --> <!-- -->take<!-- --> <!-- -->and<!-- --> <!-- -->use<!-- -->
<!-- -->photographs,<!-- --> <!-- -->video,<!-- --> <!-- -->and<!-- --> <!-- -->recordings<!-- --> <!-- -->or<!-- --> <!-- -->any<!-- --> <!-- -->other<!-- --> <!-- -->record<!-- --> <!-- -->of<!-- --> <!-- -->this<!-- -->
<!-- -->event<!-- --> <!-- -->for<!-- --> <!-- -->any<!-- --> <!-- -->purpose<!-- --> <!-- -->whatsoever.<br><br>If<!-- --> <!-- -->signed<!-- --> <!-- -->by<!-- --> <!-- -->a<!-- --> <!-- -->parent,<!-- --> <!-- -->the<!-- -->
<!-- -->parent<!-- --> <!-- -->agrees<!-- --> <!-- -->to<!-- --> <!-- -->release<!-- --> <!-- -->and<!-- --> <!-- -->hold<!-- --> <!-- -->the<!-- --> <!-- -->above-named<!-- --> <!-- -->organizations<!-- --> <!-- -->and<!-- -->
<!-- -->persons<!-- --> <!-- -->harmless<!-- --> <!-- -->of<!-- --> <!-- -->any<!-- --> <!-- -->claims<!-- --> <!-- -->which<!-- --> <!-- -->may<!-- --> <!-- -->be<!-- --> <!-- -->asserted<!-- --> <!-- -->by<!-- -->
<!-- -->or<!-- --> <!-- -->on<!-- --> <!-- -->behalf<!-- --> <!-- -->of<!-- --> <!-- -->the<!-- --> <!-- -->entrant<!-- --> <!-- -->as<!-- --> <!-- -->well.</div><label class="must-show flex"><input type="checkbox" required="">
<!-- -->I have read and agree to the terms above.</label>
</div>
</div>
</div>
<div class="field-checkbox registrant-field field-registrant-26">
<div>
<div class="field-area offset" style="text-align:match-parent"><label class="must-show flex"><input type="checkbox" required=""> <!-- -->I agree to T&A & NON-REFUNDABLE fees<span class="required-field">*</span></label></div>
</div>
</div>
<div class="field-textField registrant-field field-registrant-27">
<div class="textField"><label for="x2b21b89e94f4b3d13815">Initial to agree to T&A & NON-REFUNDABLE fees<span class="required-field" aria-hidden="true">*</span></label>
<div class="field-area multi-field"><input type="text" id="x2b21b89e94f4b3d13815" value="" required="" class=""></div>
</div>
</div>
<div class="field-lineBreak registrant-field field-registrant-28">
<hr class="dotted line-break" style="border-width:1px">
</div>
<div class="field-subtotal registrant-field field-registrant-29">
<div class="holds-subtotal">
<div class="label-like">RUNNING TOTAL</div>
<div class="field-area">$0.00</div>
</div>
</div>
<div class="field-codeBox registrant-field field-registrant-30">
<div class="holds-coupon-code"><label id="xe6f10872b2e9b614f8ba">Coupon Code</label>
<div class="field-area multi-field"><input type="text" aria-labelledby="xe6f10872b2e9b614f8ba" value="" class=""><button type="button" class="btn btn-primary" disabled=""
aria-label="Coupon Code Apply"><i class="fa fa-spinner fa-spin"></i>Apply</button></div>
</div>
</div>
<div class="field-lineBreak registrant-field field-registrant-31">
<hr class="dotted line-break" style="border-width:1px">
</div>
</div>
</div>
</div>
<div class="registrant-field">
<div class="form-width label-align">
<div class="add-registrant"><button type="button" class="btn-primary btn-lg">Add Another <!-- -->Registrant</button>
<hr>
</div>
</div>
</div>
<div class="field-summary registrant-field field-registrant-1"></div>
</section>
<section class="billing" id="billing-section">
<div class="field-textHeading registrant-field">
<div class="label-align form-width">
<h2 class="text-left">BILLING INFO</h2>
</div>
</div>
<div class="field-copyRegInfo registrant-field"></div>
<div class="field-name registrant-field">
<div class="name sub-field"><label for="xbf7b3b596f168357bcab_firstName">Name<span class="required-field" aria-hidden="true">*</span></label>
<div class="field-area multi-field"><input type="text" id="xbf7b3b596f168357bcab_firstName" placeholder="First" aria-label="First Name" value="" required="" class="first"><input type="text" id="xbf7b3b596f168357bcab_lastName"
placeholder="Last" aria-label="Last Name" value="" required="" class="last"></div>
</div>
</div>
<div class="registrant-field">
<div class="card-on-file sub-field"><label class="offset field-area must-show flex"><input type="checkbox"> <!-- -->Use a previously saved card</label></div>
<div class="credit-card-billing sub-field"><label for="x120f5677650e4599ac3d_cardNumber">Credit Card<span class="required-field" aria-hidden="true">*</span></label>
<div class="field-area"><input type="text" inputmode="numeric" name="cardNumber" id="x120f5677650e4599ac3d_cardNumber" placeholder="Card Number" required="" class="cc-number _lr-hide" value="">
<ul class="credit-cards">
<li class="visa">Visa</li>
<li class="mastercard">Mastercard</li>
<li class="amex">American Express</li>
<li class="discover">Discover</li>
</ul>
</div>
</div>
<div class="exp-date">
<div class="field-area multi-field offset"><select name="expMonth" class="date-month" aria-label="Credit Card Expiration Month" required="">
<option selected="" value="">Month</option>
<option value="1">01</option>
<option value="2">02</option>
<option value="3">03</option>
<option value="4">04</option>
<option value="5">05</option>
<option value="6">06</option>
<option value="7">07</option>
<option value="8">08</option>
<option value="9">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
</select><select name="expYear" class="date-year" aria-label="Credit Card Expiration Year" required="">
<option selected="" value="">Year</option>
<option>2024</option>
<option>2025</option>
<option>2026</option>
<option>2027</option>
<option>2028</option>
<option>2029</option>
<option>2030</option>
<option>2031</option>
<option>2032</option>
<option>2033</option>
<option>2034</option>
<option>2035</option>
<option>2036</option>
<option>2037</option>
<option>2038</option>
<option>2039</option>
<option>2040</option>
<option>2041</option>
<option>2042</option>
<option>2043</option>
</select><input type="text" name="cvv" placeholder="CVV" aria-label="CVV" inputmode="numeric" maxlength="4" size="4" value="" class="cc-cvv _lr-hide"></div>
</div>
<div class="card-on-file"><label class="offset field-area must-show flex"><input type="checkbox"> <!-- -->Save this card for future use<!-- --> <span class="helptip hint--bottom"
data-hint="To use this card in the future, you will login with a password. If you do not have an account yet, you can set up a password."><i class="fa fa-question-circle"></i></span></label></div>
</div>
<div class="field-address registrant-field">
<div class="address holds-address">
<div class="sub-field"><label for="x928997ca260e8b48167d_country">Address<span class="required-field" aria-hidden="true">*</span></label>
<div class="field-area"><select id="x928997ca260e8b48167d_country" class="country" aria-label="Country" required="">
<option value="US">United States of America</option>
<option value="CA">Canada</option>
<option value="" disabled="">----------------------</option>
<option value="AF">Afghanistan</option>
<option value="AL">Albania</option>
<option value="DZ">Algeria</option>
<option value="AS">American Samoa</option>
<option value="AD">Andorra</option>
<option value="AO">Angola</option>
<option value="AI">Anguilla</option>
<option value="AQ">Antarctica</option>
<option value="AG">Antigua and Barbuda</option>
<option value="AR">Argentina</option>
<option value="AM">Armenia</option>
<option value="AW">Aruba</option>
<option value="AU">Australia</option>
<option value="AT">Austria</option>
<option value="AZ">Azerbaijan</option>
<option value="BS">Bahamas</option>
<option value="BH">Bahrain</option>
<option value="BD">Bangladesh</option>
<option value="BB">Barbados</option>
<option value="BE">Belgium</option>
<option value="BZ">Belize</option>
<option value="BJ">Benin</option>
<option value="BM">Bermuda</option>
<option value="BT">Bhutan</option>
<option value="BO">Bolivia</option>
<option value="BA">Bosnia and Herzegovina</option>
<option value="BW">Botswana</option>
<option value="BV">Bouvet Island</option>
<option value="BR">Brazil</option>
<option value="IO">British Indian Ocean Territory</option>
<option value="BN">Brunei Darussalam</option>
<option value="BG">Bulgaria</option>
<option value="BF">Burkina Faso</option>
<option value="KH">Cambodia</option>
<option value="CM">Cameroon</option>
<option value="CV">Cape Verde</option>
<option value="KY">Cayman Islands</option>
<option value="TD">Chad</option>
<option value="CL">Chile</option>
<option value="CN">People's Republic of China</option>
<option value="CX">Christmas Island</option>
<option value="CC">Cocos (Keeling) Islands</option>
<option value="CO">Colombia</option>
<option value="KM">Comoros</option>
<option value="CK">Cook Islands</option>
<option value="CR">Costa Rica</option>
<option value="CI">Cote D'Ivoire</option>
<option value="HR">Croatia</option>
<option value="CU">Cuba</option>
<option value="CY">Cyprus</option>
<option value="CZ">Czech Republic</option>
<option value="DK">Denmark</option>
<option value="DJ">Djibouti</option>
<option value="DM">Dominica</option>
<option value="DO">Dominican Republic</option>
<option value="EC">Ecuador</option>
<option value="EG">Egypt</option>
<option value="SV">El Salvador</option>
<option value="GQ">Equatorial Guinea</option>
<option value="ER">Eritrea</option>
<option value="EE">Estonia</option>
<option value="ET">Ethiopia</option>
<option value="FK">Falkland Islands (Malvinas)</option>
<option value="FO">Faroe Islands</option>
<option value="FJ">Fiji</option>
<option value="FI">Finland</option>
<option value="FR">France</option>
<option value="GF">French Guiana</option>
<option value="PF">French Polynesia</option>
<option value="TF">French Southern Territories</option>
<option value="GA">Gabon</option>
<option value="GM">Republic of The Gambia</option>
<option value="GE">Georgia</option>
<option value="DE">Germany</option>
<option value="GH">Ghana</option>
<option value="GI">Gibraltar</option>
<option value="GR">Greece</option>
<option value="GL">Greenland</option>
<option value="GD">Grenada</option>
<option value="GP">Guadeloupe</option>
<option value="GU">Guam</option>
<option value="GT">Guatemala</option>
<option value="GN">Guinea</option>
<option value="GW">Guinea-Bissau</option>
<option value="GY">Guyana</option>
<option value="HT">Haiti</option>
<option value="HM">Heard Island and McDonald Islands</option>
<option value="VA">Holy See (Vatican City State)</option>
<option value="HN">Honduras</option>
<option value="HK">Hong Kong</option>
<option value="HU">Hungary</option>
<option value="IS">Iceland</option>
<option value="IN">India</option>
<option value="ID">Indonesia</option>
<option value="IR">Islamic Republic of Iran</option>
<option value="IE">Ireland</option>
<option value="IL">Israel</option>
<option value="IT">Italy</option>
<option value="JM">Jamaica</option>
<option value="JP">Japan</option>
<option value="JO">Jordan</option>
<option value="KZ">Kazakhstan</option>
<option value="KE">Kenya</option>
<option value="KI">Kiribati</option>
<option value="KP">North Korea</option>
<option value="KR">South Korea</option>
<option value="KW">Kuwait</option>
<option value="KG">Kyrgyzstan</option>
<option value="LA">Lao People's Democratic Republic</option>
<option value="LV">Latvia</option>
<option value="LS">Lesotho</option>
<option value="LY">Libya</option>
<option value="LI">Liechtenstein</option>
<option value="LT">Lithuania</option>
<option value="LU">Luxembourg</option>
<option value="MO">Macao</option>
<option value="MG">Madagascar</option>
<option value="MW">Malawi</option>
<option value="MY">Malaysia</option>
<option value="MV">Maldives</option>
<option value="ML">Mali</option>
<option value="MT">Malta</option>
<option value="MH">Marshall Islands</option>
<option value="MQ">Martinique</option>
<option value="MR">Mauritania</option>
<option value="MU">Mauritius</option>
<option value="YT">Mayotte</option>
<option value="MX">Mexico</option>
<option value="FM">Micronesia, Federated States of</option>
<option value="MD">Moldova, Republic of</option>
<option value="MC">Monaco</option>
<option value="MN">Mongolia</option>
<option value="MS">Montserrat</option>
<option value="MA">Morocco</option>
<option value="MZ">Mozambique</option>
<option value="MM">Myanmar</option>
<option value="NA">Namibia</option>
<option value="NR">Nauru</option>
<option value="NP">Nepal</option>
<option value="NL">Netherlands</option>
<option value="NC">New Caledonia</option>
<option value="NZ">New Zealand</option>
<option value="NI">Nicaragua</option>
<option value="NE">Niger</option>
<option value="NG">Nigeria</option>
<option value="NU">Niue</option>
<option value="NF">Norfolk Island</option>
<option value="MK">The Republic of North Macedonia</option>
<option value="MP">Northern Mariana Islands</option>
<option value="NO">Norway</option>
<option value="OM">Oman</option>
<option value="PK">Pakistan</option>
<option value="PW">Palau</option>
<option value="PS">State of Palestine</option>
<option value="PA">Panama</option>
<option value="PG">Papua New Guinea</option>
<option value="PY">Paraguay</option>
<option value="PE">Peru</option>
<option value="PH">Philippines</option>
<option value="PN">Pitcairn</option>
<option value="PL">Poland</option>
<option value="PT">Portugal</option>
<option value="PR">Puerto Rico</option>
<option value="QA">Qatar</option>
<option value="RE">Reunion</option>
<option value="RO">Romania</option>
<option value="RW">Rwanda</option>
<option value="SH">Saint Helena</option>
<option value="KN">Saint Kitts and Nevis</option>
<option value="LC">Saint Lucia</option>
<option value="PM">Saint Pierre and Miquelon</option>
<option value="VC">Saint Vincent and the Grenadines</option>
<option value="WS">Samoa</option>
<option value="SM">San Marino</option>
<option value="ST">Sao Tome and Principe</option>
<option value="SA">Saudi Arabia</option>
<option value="SN">Senegal</option>
<option value="SC">Seychelles</option>
<option value="SL">Sierra Leone</option>
<option value="SG">Singapore</option>
<option value="SK">Slovakia</option>
<option value="SI">Slovenia</option>
<option value="SB">Solomon Islands</option>
<option value="ZA">South Africa</option>
<option value="GS">South Georgia and the South Sandwich Islands</option>
<option value="ES">Spain</option>
<option value="LK">Sri Lanka</option>
<option value="SD">Sudan</option>
<option value="SR">Suriname</option>
<option value="SJ">Svalbard and Jan Mayen</option>
<option value="SZ">Eswatini</option>
<option value="SE">Sweden</option>
<option value="CH">Switzerland</option>
<option value="SY">Syrian Arab Republic</option>
<option value="TW">Taiwan</option>
<option value="TJ">Tajikistan</option>
<option value="TZ">United Republic of Tanzania</option>
<option value="TH">Thailand</option>
<option value="TL">Timor-Leste</option>
<option value="TG">Togo</option>
<option value="TK">Tokelau</option>
<option value="TO">Tonga</option>
<option value="TT">Trinidad and Tobago</option>
<option value="TN">Tunisia</option>
<option value="TR">Türkiye</option>
<option value="TM">Turkmenistan</option>
<option value="TC">Turks and Caicos Islands</option>
<option value="TV">Tuvalu</option>
<option value="UG">Uganda</option>
<option value="UA">Ukraine</option>
<option value="AE">United Arab Emirates</option>
<option value="GB">United Kingdom</option>
<option value="UM">United States Minor Outlying Islands</option>
<option value="UY">Uruguay</option>
<option value="UZ">Uzbekistan</option>
<option value="VU">Vanuatu</option>
<option value="VE">Venezuela</option>
<option value="VN">Vietnam</option>
<option value="VG">Virgin Islands, British</option>
<option value="VI">Virgin Islands, U.S.</option>
<option value="WF">Wallis and Futuna</option>
<option value="EH">Western Sahara</option>
<option value="ZM">Zambia</option>
<option value="ZW">Zimbabwe</option>
<option value="AX">Åland Islands</option>
<option value="BQ">Bonaire, Sint Eustatius and Saba</option>
<option value="CW">Curaçao</option>
<option value="GG">Guernsey</option>
<option value="IM">Isle of Man</option>
<option value="JE">Jersey</option>
<option value="ME">Montenegro</option>
<option value="BL">Saint Barthélemy</option>
<option value="MF">Saint Martin (French part)</option>
<option value="RS">Serbia</option>
<option value="SX">Sint Maarten (Dutch part)</option>
<option value="SS">South Sudan</option>
<option value="XK">Kosovo</option>
</select></div>
</div>
<div class="sub-field">
<div class="field-area offset"><input type="text" id="x928997ca260e8b48167d_street1" placeholder="Street Address" aria-label="Street Address" value="" required="" class="street1 form-control long full-width"></div>
</div>
<div class="sub-field">
<div class="field-area multi-field offset"><input type="text" id="x928997ca260e8b48167d_city" placeholder="City" aria-label="City" value="" required="" class="city"><select id="x928997ca260e8b48167d_region" class="state" aria-label="State"
required="">
<option selected="" value="">State</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
<option value="AA">AA</option>
<option value="AE">AE</option>
<option value="AP">AP</option>
</select><input type="text" id="x928997ca260e8b48167d_postalCode" placeholder="ZIP Code" aria-label="ZIP Code" value="" required="" class="zip postalCode"></div>
</div>
</div>
</div>
<div class="field-email registrant-field">
<div class="email"><label for="xca4c19f3effd5741b848">Email<span class="required-field" aria-hidden="true">*</span></label>
<div class="field-area"><input type="email" id="xca4c19f3effd5741b848" placeholder="Email Address" value="" required="" class="long"></div>
</div>
<div class="email"><label for="xca4c19f3effd5741b848_double">Confirm <!-- -->Email<span class="required-field" aria-hidden="true">*</span></label>
<div class="field-area"><input type="email" id="xca4c19f3effd5741b848_double" placeholder="Confirm Email Address" value="" required="" class="long"></div>
</div>
</div>
</section>
<div class="submit-row"><button type="submit" class="next btn btn-primary"><i class="fa fa-spinner fa-spin"></i> <!-- -->All done! Submit</button></div>
<div class="field-textParagraph footer-field">
<div class="form-width fr-view label-align">
<hr>
<p style="text-align:center;margin-bottom:-1%"><br></p>
</div>
</div>
<div class="field-html footer-field">
<div class="html">
<div id="info" class="ef-flex-container" style="display:flex;align-items:center;justify-content:center">
<!-- -->
<div class="ef-flex-item">
<!-- --> <a href="https://www.elitefeats.com/results" class="btn-primary btn ef-flex-button" target="_blank">RESULTS</a>
<a href="https://www.elitefeats.com/Bibs/?ID=" class="btn-primary btn ef-flex-button" target="_blank">BIB<!-- --> <!-- -->LOOKUP</a>
</div>
</div>
</div>
</div>
<div class="field-location footer-field">
<div class="location form-width label-align">
<h4>Location Information</h4>
<ul class="location-details">
<li class="dates"></li>
<li>
<div class="label-like">Location Name</div>
<div class="field-area"><span>Bellport Bandshell</span></div>
</li>
<li>
<div class="label-like">Address</div>
<div class="field-area"><span>55 Bellport Ln<!-- -->, <!-- -->Bellport<!-- -->, <!-- -->NY<!-- -->, <!-- -->11713<!-- --> <!-- -->US</span></div>
</li>
<li>
<div class="label-like">Directions</div>
<div class="field-area"><span><a href="https://maps.google.com?daddr=55%20Bellport%20Ln%2C%20Bellport%20NY%2011713%20US" target="_blank">Google</a>,
<a href="https://www.bing.com/maps/default.aspx?rtp=~adr.55%20Bellport%20Ln%2C%20Bellport%20NY%2011713%20US" target="_blank">Bing</a>,
<a href="http://mapq.st/directions?saddr=&daddr=55%20Bellport%20Ln%2C%20Bellport%20NY%2011713%20US" target="_blank">MapQuest</a></span></div>
</li>
</ul>
<div>
<div class="map"><iframe width="175" frameborder="0" title="Google Map of Bellport Bandshell"
src="https://www.google.com/maps/embed/v1/place?key=AIzaSyAICPCnHw8T-1yubIeR3zomoIF4M3LtVa0&q=55%20Bellport%20Ln%2C%20Bellport%20NY%2011713%20US"></iframe></div>
</div>
</div>
</div>
<div class="field-textParagraph footer-field">
<div class="form-width fr-view label-align">
<h2 style="text-align:center"><img src="https://s3.amazonaws.com/uploads.webconnex.com/73%2F1685566137733-23+bellport+bsy+5k+250+copy.png" style="width:250px" class="fr-fic fr-dib"></h2>
<h2 style="text-align:center">July<!-- --> <!-- -->14,<!-- --> <!-- -->2024<br>5PM<!-- --> <!-- -->5K<!-- --> <!-- -->Start<!-- --> <!-- -->Rain<!-- --> <!-- -->or<!-- --> <!-- -->Shine<br>4:30PM<!-- --> <!-- -->Free<!-- -->
<!-- -->Kids<!-- --> <!-- -->Fun<!-- --> <!-- -->Run</h2>
<h2 style="text-align:center">Bandshell<!-- --> <!-- -->Park<!-- --> <!-- -->at<!-- --> <!-- -->the<!-- --> <!-- -->Main<!-- --> <!-- -->Dock<!-- --> <!-- -->in<!-- --> <!-- -->Bellport</h2>
<h2 style="text-align:center"><br>Parking<!-- --> <!-- -->available<!-- --> <!-- -->near<!-- --> <!-- -->the<!-- --> <!-- -->Library<!-- --> <!-- -->or<!-- --> <!-- -->Porters<!-- --> <!-- -->on<!-- --> <!-- -->the<!-- --> <!-- -->Lane</h2>
<hr>
<h2>ABOUT</h2>
<p>The<!-- --> <!-- -->Bellport<!-- --> <!-- -->Village<!-- --> <!-- -->Program<!-- --> <!-- -->Fund<!-- --> <!-- -->(BVPF)<!-- --> <!-- -->is<!-- --> <!-- -->pleased<!-- --> <!-- -->to<!-- --> <!-- -->announce<!-- --> <!-- -->that<!-- -->
<!-- -->it<!-- --> <!-- -->is<!-- --> <!-- -->repeating<!-- --> <!-- -->the<!-- --> <!-- -->annual<!-- --> <!-- -->summer<!-- --> <!-- -->5K<!-- --> <!-- -->race<!-- --> <!-- -->in<!-- --> <!-- -->Bellport.<!-- --> <!-- -->The<!-- -->
<strong>Bellport<!-- --> <!-- -->Bay<!-- --> <!-- -->5K</strong> <!-- -->will<!-- --> <!-- -->be<!-- --> <!-- -->staged<!-- --> <!-- -->in<!-- --> <!-- -->the<!-- --> <!-- -->early<!-- --> <!-- -->evening<!-- --> <!-- -->of<!-- -->
<!-- -->Sunday,<!-- --> <!-- -->July<!-- --> <!-- -->14,<!-- --> <!-- -->2024.<!-- --> <!-- -->There<!-- --> <!-- -->will<!-- --> <!-- -->also<!-- --> <!-- -->be<!-- --> <!-- -->a<!-- --> <!-- -->Fun<!-- --> <!-- -->Run<!-- -->
<!-- -->for<!-- --> <!-- -->kids<!-- --> <!-- -->of<!-- --> <!-- -->all<!-- --> <!-- -->ages.<!-- --> <!-- -->All<!-- --> <!-- -->proceeds<!-- --> <!-- -->from<!-- --> <!-- -->race<!-- --> <!-- -->registrations<!-- --> <!-- -->and<!-- -->
<!-- -->tax-deductible<!-- --> <!-- -->sponsorships,<!-- --> <!-- -->after<!-- --> <!-- -->race-related<!-- --> <!-- -->expenses,<!-- --> <!-- -->will<!-- --> <!-- -->go<!-- --> <!-- -->to<!-- --> <!-- -->benefit<!-- --> <!-- -->the<!-- -->
<!-- -->BVPF.</p>
<hr>
<h2>AMENITIES</h2>
<p><strong>Kids<!-- --> <!-- -->Fun<!-- --> <!-- -->Run</strong> <em><span style="font-size:14px">(Registration<!-- --> <!-- -->is<!-- --> <!-- -->not<!-- --> <!-- -->required)</span></em><br>Check<!-- --> <!-- -->in<!-- --> <!-- -->and<!-- -->
<!-- -->dash<!-- --> <!-- -->are<!-- --> <!-- -->on<!-- --> <!-- -->the<!-- --> <!-- -->corner<!-- --> <!-- -->of<!-- --> <!-- -->Hulse<!-- --> <!-- -->St.<!-- --> <!-- -->and<!-- --> <!-- -->Bellport<!-- -->
<!-- -->Lane.<br><br><strong>Awards,<!-- --> <!-- -->Refreshments<!-- --> <!-- -->and<!-- --> <!-- -->Shirt<!-- --> <!-- -->Pickup</strong> <!-- -->at<!-- --> <!-- -->the<!-- --> <!-- -->finish<!-- --> <!-- -->line<!-- --> <!-- -->.</p>
<hr>
<h2>AWARDS</h2>
<p>Top<!-- --> <!-- -->3<!-- --> <!-- -->M/F<!-- --> <!-- -->Overall<br>Top<!-- --> <!-- -->3<!-- --> <!-- -->M/F<!-- --> <!-- -->Age<!-- --> <!-- -->Groups:<!-- --> <!-- -->12<!-- --> <!-- -->&<!-- --> <!-- -->under,<!-- -->
<!-- -->13-16,<!-- --> <!-- -->17-19,<!-- --> <!-- -->20-29,<!-- --> <!-- -->30-39,<!-- --> <!-- -->40-49,<!-- --> <!-- -->50-59,<!-- --> <!-- -->60-69,<!-- --> <!-- -->70-79,<!-- --> <!-- -->80+</p>
<hr>
<h2>BENEFITS</h2>
<p><strong>About<!-- --> <!-- -->the<!-- --> <!-- -->Bellport<!-- --> <!-- -->Village<!-- --> <!-- -->Program<!-- --> <!-- -->Fund:</strong> <!-- -->The<!-- --> <!-- -->Bellport<!-- --> <!-- -->Village<!-- --> <!-- -->Program<!-- -->
<!-- -->Fund<!-- --> <!-- -->is<!-- --> <!-- -->a<!-- --> <!-- -->not-for-profit<!-- --> <!-- -->organization<!-- --> <!-- -->that<!-- --> <!-- -->partners<!-- --> <!-- -->with<!-- --> <!-- -->the<!-- --> <!-- -->Village<!-- -->
<!-- -->of<!-- --> <!-- -->Bellport<!-- --> <!-- -->to<!-- --> <!-- -->execute<!-- --> <!-- -->selected<!-- --> <!-- -->projects<!-- --> <!-- -->to<!-- --> <!-- -->improve<!-- --> <!-- -->the<!-- --> <!-- -->experience<!-- -->
<!-- -->of<!-- --> <!-- -->residents<!-- --> <!-- -->and<!-- --> <!-- -->youths<!-- --> <!-- -->at<!-- --> <!-- -->the<!-- --> <!-- -->Village<!-- --> <!-- -->recreational<!-- --> <!-- -->areas,<!-- --> <!-- -->and<!-- -->
<!-- -->benefit<!-- --> <!-- -->all<!-- --> <!-- -->of<!-- --> <!-- -->the<!-- --> <!-- -->residents<!-- --> <!-- -->of<!-- --> <!-- -->Bellport.<!-- --> <!-- -->Founded<!-- --> <!-- -->in<!-- --> <!-- -->2011,<!-- -->
<!-- -->projects<!-- --> <!-- -->include<!-- --> <!-- -->the<!-- --> <!-- -->ongoing<!-- --> <!-- -->spraying<!-- --> <!-- -->for<!-- --> <!-- -->mosquito<!-- --> <!-- -->and<!-- --> <!-- -->green<!-- --> <!-- -->fly<!-- -->
<!-- -->abatement,<!-- --> <!-- -->as<!-- --> <!-- -->well<!-- --> <!-- -->as<!-- --> <!-- -->beautifying<!-- --> <!-- -->the<!-- --> <!-- -->capital<!-- --> <!-- -->assets<!-- --> <!-- -->of<!-- --> <!-- -->Bellport<!-- -->
<!-- -->Village,<!-- --> <!-- -->such<!-- --> <!-- -->as<!-- --> <!-- -->the<!-- --> <!-- -->Community<!-- --> <!-- -->Center<!-- --> <!-- -->Bowling<!-- --> <!-- -->Alley,<!-- --> <!-- -->Marina,<!-- --> <!-- -->Ho<!-- -->
<!-- -->Hum<!-- --> <!-- -->and<!-- --> <!-- -->Mothers’<!-- --> <!-- -->Beach,<!-- --> <!-- -->Osborne<!-- --> <!-- -->Park,<!-- --> <!-- -->and<!-- --> <!-- -->the<!-- --> <!-- -->Bellport<!-- --> <!-- -->Country<!-- -->
<!-- -->Club.<!-- --> <!-- -->100%<!-- --> <!-- -->of<!-- --> <!-- -->all<!-- --> <!-- -->donations<!-- --> <!-- -->go<!-- --> <!-- -->to<!-- --> <!-- -->these<!-- --> <!-- -->and<!-- --> <!-- -->other<!-- --> <!-- -->projects,<!-- -->
<!-- -->as<!-- --> <!-- -->all<!-- --> <!-- -->administrative<!-- --> <!-- -->costs<!-- --> <!-- -->are<!-- --> <!-- -->borne<!-- --> <!-- -->by<!-- --> <!-- -->the<!-- --> <!-- -->BVPF<!-- --> <!-- -->Board<!-- --> <!-- -->of<!-- -->
<!-- -->Directors.<!-- --> <!-- -->Visit<!-- --> <a href="http://www.bellportvillage501.org" target="_blank"><strong>www.bellportvillage501.org</strong></a> <!-- -->for<!-- --> <!-- -->more<!-- --> <!-- -->information.</p>
<p><a href="http://www.bellportvillage501.org" rel="noopener noreferrer" target="_blank"><img src="https://s3.amazonaws.com/uploads.webconnex.com/73%2F1704825703542-bellport+village+logo.png" style="width:113px" class="fr-fic fr-dib"></a></p>
<hr>
<h2>BIB<!-- --> <!-- -->PICKUP</h2>
<p><strong>Race<!-- --> <!-- -->Day<!-- --> <!-- -->Bib<!-- --> <!-- -->Pickup<!-- --> </strong>is<!-- --> <!-- -->available<!-- --> <!-- -->at<!-- --> <!-- -->4PM<!-- --> <!-- -->at<!-- --> <!-- -->the<!-- --> <!-- -->start<!-- -->
<!-- -->area<!-- --> <!-- -->at<!-- --> <!-- -->the<!-- --> <!-- -->Bellport<!-- --> <!-- -->Bandshell<!-- --> <!-- -->-<!-- --> <!-- -->55<!-- --> <!-- -->Bellport<!-- --> <!-- -->Ln,<!-- --> <!-- -->Bellport,<!-- --> <!-- -->NY,<!-- -->
<!-- -->11713.<!-- --> <!-- -->T-shirt<!-- --> <!-- -->pickup<!-- --> <!-- -->will<!-- --> <!-- -->be<!-- --> <!-- -->after<!-- --> <!-- -->the<!-- --> <!-- -->race<!-- --> <!-- -->at<!-- --> <!-- -->the<!-- --> <!-- -->same<!-- -->
<!-- -->location.</p>
<p>Hurry;<!-- --> <!-- -->Register<!-- --> <!-- -->3<!-- --> <!-- -->weeks<!-- --> <!-- -->in<!-- --> <!-- -->advance<!-- --> <!-- -->to<!-- --> <!-- -->get<!-- --> <!-- -->a<!-- --> <!-- -->personalized<!-- --> <!-- -->Race<!-- -->
<!-- -->Number!</p>
<p><img src="https://s3.amazonaws.com/uploads.webconnex.com/73%2F1687292235160-bellport+bib.jpg" style="width:800px" class="fr-fic fr-dib fr-fil"></p>
<hr>
<h2>COURSE</h2>
<p>Accurately<!-- --> <!-- -->measured<!-- --> <!-- -->course<!-- --> <!-- -->through<!-- --> <!-- -->the<!-- --> <!-- -->beautiful<!-- --> <!-- -->village<!-- --> <!-- -->of<!-- --> <!-- -->Bellport<!-- --> <!-- -->Bay!<br><span
style="font-size:14px"><strong>*<!-- --> <!-- -->Strollers<!-- --> <!-- -->are<!-- --> <!-- -->not<!-- --> <!-- -->allowed<!-- --> <!-- -->on<!-- --> <!-- -->the<!-- --> <!-- -->course<!-- --> <!-- -->*</strong></span></p>
<p><img src="https://s3.amazonaws.com/uploads.webconnex.com/73%2F1688741759274-Bellport+Bay+Map+2023++water+stops.png" style="width:801px" class="fr-fic fr-dib fr-fil"></p>
<hr>
<h2>QUESTIONS</h2>
<p>Please<!-- --> <!-- -->contact<!-- --> <a href="mailto:info@bellportvillage501.org" target="_blank"><strong>info@bellportvillage501.org</strong></a></p>
<hr>
<h2>RESULTS<!-- --> <!-- -->&<!-- --> <!-- -->PHOTOS</h2>
<p style="text-align:justify">LIVE<!-- --> <!-- -->Online/Email/Text<!-- --> <!-- -->Results<!-- --> <!-- -->and<!-- --> <!-- -->FREE<!-- --> <!-- -->Video<!-- --> <!-- -->&<!-- --> <!-- -->Same-day<!-- --> <!-- -->finish<!-- -->
<!-- -->line<!-- --> <!-- -->pics<br>Find<!-- --> <!-- -->Misc<!-- --> <!-- -->Photos<!-- --> <!-- -->on<!-- --> <!-- -->Facebook<!-- --> <a href="https://www.facebook.com/elitefeats/" target="_blank">@elitefeats</a> </p>
<hr>
<h2 style="text-align:justify">TEAM<!-- --> <!-- -->ROSTER</h2>
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Help Links ? * Resend Confirmation * Login * Contact ☰ REGISTER NOW'23 Photo Gallery'22 Photo Gallery EVENT INFO -------------------------------------------------------------------------------- "BB5K" JULY 14, 2024 5PM 5K START RAIN OR SHINE 4:30PM FREE KIDS FUN RUN BELLPORT, NY * Strollers are not allowed on the course * -------------------------------------------------------------------------------- REGISTER Free Kids Fun Run does not require any registration - 4:30pm meet-up on the corner of Hulse St. and Bellport Lane. Registration Options* * 5K Run/Walk ($30.00) Your name on your bib three weeks before race day Price increases to $35 on 6/23, $40 on Race Day SPONSOR THE RUN If you or your business would like to support the run please see the sponsorship opportunities by checking this box. Uncheck this box to register for the run/walk. DONATION ONLY Uncheck this box to register for the run/walk. BUY RAFFLE TICKETS ONLY Uncheck this box to register for the run/walk. -------------------------------------------------------------------------------- PARTICIPANT INFO NAME* SHIPPING ADDRESS* StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAAAEAP EMAIL* CELL* AGE ON RACE DAY* GENDER* * Male * Female T-Shirt Size (Sizes not guaranteed!)* (Choose One)No, thanks!SMLXL How did you hear about registration this year?* (Choose One)elitefeatselitefeats Bib (back of bib)elitefeats Email AnnouncementEvent WebsiteFacebookFlyerFriendOther -------------------------------------------------------------------------------- RAFFLE TICKETS Win a pair of Hoka shoes! 1 Raffle Ticket for Men's Pair of Hoka's ($10.00/ea.) 1 Raffle Ticket for Women's Pair of Hoka's ($10.00/ea.) Sub Total $0.00 -------------------------------------------------------------------------------- JOIN OR CREATE A TEAM (OPTIONAL) Form a Team with friends or family! This is optional and may not have any affiliated awards. Join a TeamCreate a Team -------------------------------------------------------------------------------- THANK YOU FOR YOUR ADDITIONAL SUPPORT All proceeds from race registrations and tax-deductible sponsorships, after race-related expenses, will go to benefit the BVPF. The Bellport Village Program Fund is a not-for-profit organization to improve the experience of residents and youths to benefit all of the residents of Bellport. Suggested Amounts: Suggested Amounts * $5 * $10 * $25 * Other -------------------------------------------------------------------------------- READ & INITIAL TO AGREE Registration fees are used toward race expenses and cannot be returned once you sign up. Terms & Agreements* ALL FEES ARE NON-REFUNDABLE Nor are they transferable from year to year. Once you are signed up, race fees are used for race expenses and cannot be returned. In consideration of accepting this entry, I understand and agree to be legally bound hereby for myself, my heirs, executors, administrators, successors and waive, release and hold harmless Bellport Village, Bellport Bay 5K Run/Walk, elitefeats inc., and any volunteers and all race sponsors and their agents, employees and representatives for any and all injuries, claims, liabilities and causes of action related to my participation in this event. I attest that I am physically fit and have sufficiently trained for the completion of this event and that my condition has been verified by a licensed medical doctor. I further grant permission to any of the foregoing organizations to take and use photographs, video, and recordings or any other record of this event for any purpose whatsoever. If signed by a parent, the parent agrees to release and hold the above-named organizations and persons harmless of any claims which may be asserted by or on behalf of the entrant as well. I have read and agree to the terms above. I agree to T&A & NON-REFUNDABLE fees* Initial to agree to T&A & NON-REFUNDABLE fees* -------------------------------------------------------------------------------- RUNNING TOTAL $0.00 Coupon Code Apply -------------------------------------------------------------------------------- Add Another Registrant -------------------------------------------------------------------------------- BILLING INFO Name* Use a previously saved card Credit Card* * Visa * Mastercard * American Express * Discover Month010203040506070809101112Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Save this card for future use Address* United States of AmericaCanada----------------------AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoCambodiaCameroonCape VerdeCayman IslandsChadChilePeople's Republic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCote D'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonRepublic of The GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIslamic Republic of IranIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLesothoLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States ofMoldova, Republic ofMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandThe Republic of North MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauState of PalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSouth AfricaSouth Georgia and the South Sandwich IslandsSpainSri LankaSudanSurinameSvalbard and Jan MayenEswatiniSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanUnited Republic of TanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaZambiaZimbabweÅland IslandsBonaire, Sint Eustatius and SabaCuraçaoGuernseyIsle of ManJerseyMontenegroSaint BarthélemySaint Martin (French part)SerbiaSint Maarten (Dutch part)South SudanKosovo StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAAAEAP Email* Confirm Email* All done! Submit -------------------------------------------------------------------------------- RESULTS BIB LOOKUP LOCATION INFORMATION * * Location Name Bellport Bandshell * Address 55 Bellport Ln, Bellport, NY, 11713 US * Directions Google, Bing, MapQuest JULY 14, 2024 5PM 5K START RAIN OR SHINE 4:30PM FREE KIDS FUN RUN BANDSHELL PARK AT THE MAIN DOCK IN BELLPORT PARKING AVAILABLE NEAR THE LIBRARY OR PORTERS ON THE LANE -------------------------------------------------------------------------------- ABOUT The Bellport Village Program Fund (BVPF) is pleased to announce that it is repeating the annual summer 5K race in Bellport. The Bellport Bay 5K will be staged in the early evening of Sunday, July 14, 2024. There will also be a Fun Run for kids of all ages. All proceeds from race registrations and tax-deductible sponsorships, after race-related expenses, will go to benefit the BVPF. -------------------------------------------------------------------------------- AMENITIES Kids Fun Run (Registration is not required) Check in and dash are on the corner of Hulse St. and Bellport Lane. Awards, Refreshments and Shirt Pickup at the finish line . -------------------------------------------------------------------------------- AWARDS Top 3 M/F Overall Top 3 M/F Age Groups: 12 & under, 13-16, 17-19, 20-29, 30-39, 40-49, 50-59, 60-69, 70-79, 80+ -------------------------------------------------------------------------------- BENEFITS About the Bellport Village Program Fund: The Bellport Village Program Fund is a not-for-profit organization that partners with the Village of Bellport to execute selected projects to improve the experience of residents and youths at the Village recreational areas, and benefit all of the residents of Bellport. Founded in 2011, projects include the ongoing spraying for mosquito and green fly abatement, as well as beautifying the capital assets of Bellport Village, such as the Community Center Bowling Alley, Marina, Ho Hum and Mothers’ Beach, Osborne Park, and the Bellport Country Club. 100% of all donations go to these and other projects, as all administrative costs are borne by the BVPF Board of Directors. Visit www.bellportvillage501.org for more information. -------------------------------------------------------------------------------- BIB PICKUP Race Day Bib Pickup is available at 4PM at the start area at the Bellport Bandshell - 55 Bellport Ln, Bellport, NY, 11713. T-shirt pickup will be after the race at the same location. Hurry; Register 3 weeks in advance to get a personalized Race Number! -------------------------------------------------------------------------------- COURSE Accurately measured course through the beautiful village of Bellport Bay! * Strollers are not allowed on the course * -------------------------------------------------------------------------------- QUESTIONS Please contact info@bellportvillage501.org -------------------------------------------------------------------------------- RESULTS & PHOTOS LIVE Online/Email/Text Results and FREE Video & Same-day finish line pics Find Misc Photos on Facebook @elitefeats -------------------------------------------------------------------------------- TEAM ROSTER UPCOMING COACHING This page is secured with 256 bit encryption Event Registration Software by RedPodium 12 people signed up in the last 7 days