NCLR Diabetes Dash1945 West Schiller St. #1Chicago, IL 60622202) 785-1670 Main(202) 318-0250 Fax

T-Shirt Size (Please Check One)

WHERE: Downtown Los Angeles

HOW FAR: A 5k is 3.1 miles and the course will be outdoors inDowntown Los Angeles

HOW TO SIGN UP: Fill out the form below and mail or fax to address or fax number