Request edit access
Student Healthcare Outreach & ONE EMS     80s 5k Registration        
Sunday, November 12, 2017
2:30-4:30 p.m. Registration begins at 2:00 p.m.  
Start/finish at cul-de-sac in front of Oklahoma Memorial Union, 900 Asp Ave, Norman, OK, 73019.

75% of proceeds will go to SHO's beneficiary, Fundacion Manos Juntas, a nonprofit organization founded by Dr. Boyd Shook that provides free clinic healthcare and lifesaving medicine to individuals who cannot afford healthcare and support their families at the same time. The fundraiser is also for ONE Emergency Medical Services, a student organization that is working to become responsive to 911 calls and provide volunteer medical first responders, without charge, to OU students, faculty, staff, and community in order to make OUr campus a safer place.

The $15 registration fee includes entry into the race, t-shirt, snacks, water, and the chance to support TWO great causes! If you have a PayPal account, visit paypal.me/OUSHO. If you do not have a PayPal account, submit this form and SHO's treasurer, Evan Shrestha, will text you a payment link through which you may pay with credit/debit card. Race registration will not be accepted until payment is received.

Please email studenthealthcareoutreach@ou.edu if you have any questions/concerns.
Sign in to Google to save your progress. Learn more
Email *
Name *
Phone Number *
OU ID (if student)
How did you hear about the race?
The minimum donation required is $15, but you are welcome to give more (see GoFundMe link below). If you have a PayPal account, visit paypal.me/OUSHO for payment. If you do not have a PayPal account, submit this form and SHO's treasurer, Evan Shrestha, will text you a payment link through which you may pay with credit/debit card. Please note: race registration will not be accepted until payment is received. *
Manos Juntas Clinic GoFundMe: Any extra donations to help the clinic would be greatly appreciated.
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy