See you there! 2024 LA BIG 5K Registration Step 1 of 6 16% BIG 5k & LA Marathon Charity Registration*Select the race you would like to participate in. LA BIG 5K | $50.00 LOS ANGELES MARATHON *Ages 16 and over as of 3/7/2024 | $179.00 Charity Challenge Half Marathon: $170.00 Do you have a discount code? Fundraising*Fundraising events like this help save lives. Your support gives the gift of surgical care, travel grants and lodging to those without access to critical medical care. Thank you for your gift of support. You are making a difference! • Tools to succeed in reaching your goal will be provided including a personalized plan and fundraising page YES! I will help save lives by fundraising for my run! I will not be fundraising this year, but I would still like to participate as a runner or walker on the Foundation Team. What is your fundraising goal?*There is no harm in aiming high! We will help you plan a path for success.$350$400$500Other AmountYour fundraising goal:* Are you a member of Brick Crossfit committed to raising $350?* No I am not. YES! Are you on staff at the Osborne Head and Neck Institute?* No I am not. YES! Photo Upload (Optional):Please upload a photo of yourself for your fundraising page.Max. file size: 146 MB.Participant Category:*Runner / Walker – 5KRunner / Walker – Marathon | $170Runner / Walker – Half Marathon | $135.00Participant Category*Runner / Walker – 5KRunner / Walker – MarathonRunner / Walker – Half MarathonWheelchair – 5KWheelchair – MarathonWheelchair – Half MarathonHandcycle – 5KHandcycle – MarathonHandcycle – Half MarathonWho is this registration for?*MyselfSomeone else, 18+Someone else under 18Where applicable, if you are under 18, you must be registered by a parent or guardian.Relationship:*You must be the parent or legal guardian to register someone under 18 years old. By registering a child under 13, you are consenting to the collection of the child’s information you are providing for the purposes of registration. You are this person’s parent or legal guardian. Name of minor participant:* First Last Name of Guardian:* First Last Name of participant:* First Last Total $0.00 Email Address:* Name* First Last Gender* Male Female Non-binary Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Phone Number*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Total $0.00 Emergency Contact Name* First Last Emergency Contact Phone Number*Medical Info (Optional)Please let us know if you have any medical issues we need to be aware of.Total $0.00 REQUIRED*By checking this box, I understand that there are no refunds, transfers, or deferrals for the Los Angeles Marathon, LA Road Runners, Pasadena Half Marathon and 5K at the Rose Bowl, Santa Monica Classic, or LA BIG 5K. I AGREE REQUIRED*By checking this box, I understand that I must pick up my own bib at the bib pick-up location, and no exceptions will be made. I AGREE T-shirt SizeMen’s SmallMen’s MediumMen's LargeMen's XLMen's 2XLWomen’s SmallWomen’s MediumWomen’s LargeWomen’s XL5K FinisherPix Professional Photo Pack ($9.99) – Standard digital photos Price: Celebrate your run with the FinisherPix Professional Photo Pack. The FinisherPix Professional Photo Pack includes all photos we identify of you in all digital formats (standard digital images, digital images with finish time, bordered digital images). This offer is only valid at the time of registration – order now and save. A link to download all images will be emailed to you the week following the race. For more information and to review the terms and conditions of this service, please visit the FinisherPix website at www.finisherpix.com. Please note 360 images not included and all FinisherPix packages are nonrefundable and nontransferable. Quantity01Total $0.00 Waiver Agreement*Please read the following waivers and agreements carefully. They include releases of liability and waiver of legal rights, and deprive you of the ability to sue certain parties. By agreeing electronically, you acknowledge that you have both read and understood all text presented to you as part of the registration process. I agree to the Active Agreement and Waiver By entering my name below, I assert that I have reviewed and agree to all of the waivers and agreements I have selected above. First Last Active Agreement and Waiver*The waiver can be read / downloaded by clicking here. I agree to the Active Agreement and Waiver Acknowledgement, Agreement, Release and Waiver of Liability*The waiver can be read / downloaded by clicking here. I agree to the ACKNOWLEDGEMENT, AGREEMENT, RELEASE AND WAIVER OF LIABILITY Total $0.00 Make a donation to save lives! (Optional)All registration fees added until this point are collected by the LA Marathon. Your donation here helps save lives through the Foundation. Thank you for your gift! $25 $50 $100 $200 Other Amount Your Donation Amount:Please enter your donation amount. Total $0.00 Payment Information* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Expiration Date Security Code Cardholder Name Billing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Δ
