Redirecting you to a secure payment page…
HEAL St. Louis 5k - 11/1/2026 Registration Form
STL%205K%202026.jpeg
1
{{pageTitles[currentPage-1]}}
2
{{pageTitles[currentPage-1]}}
3
{{pageTitles[currentPage-1]}}
4
{{pageTitles[currentPage-1]}}
5
{{pageTitles[currentPage-1]}}
HEAL St. Louis 5k - 11/1/2026
11/01/2026 - 11/02/2026
{{item}}
Ticket Options
Ticket Name
Price
Quantity
Child
{{item}}
Adult
{{item}}
Event Sponsorship
Event sponsorship includes: Recognition at event, on flyers and banner 2 - 5K registrations (includes 2 shirts)
{{item}}
{{item}}
{{item}}

*Click the link below to complete the waiver — checking this box alone is not sufficient. Each adult participant (18+) must complete the waiver linked below in order to participate. Please also copy and send the link to each adult participant in your group. Each adult participant must include their own unique email address when completing the waiver. An adult parent/legal guardian attending should include any minor children on their waiver.

https://healpalestine.jotform.com/262444535665968

{{item}}
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.  Secure Payment
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
Create an account to save your information and access our online portal!
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.  Secure Payment

{{ noVacancyMessage }}

{{group.ticketName}} {{group.seqLabel}}
Attendee {{index+1}} Remove
Choose Existing Contact(s)
{{item}}
{{item}}
{{item}}
{{item}}
Add Attendee
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.  Secure Payment
{{orderSummary.membershipOrderItem.termName}}
{{orderSummary.membershipOrderItem.startDate}} - {{orderSummary.membershipOrderItem.endDate}}
{{orderSummary.membershipsTotal==0?'Free':formatAmount(orderSummary.membershipsTotal)}}
Membership auto-renews monthly for {{ formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipInstallment.cost) }} until {{ orderSummary.membershipOrderItem.membershipInstallment.endDate }}
Membership auto-renews on {{orderSummary.membershipOrderItem.membershipAutoRenew.renewDate}} for {{formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipAutoRenew.cost)}}
1
{{orderSummary.membershipOrderItem.userName}}
{{orderSummary.membershipOrderItem.cost==0?'Free':formatAmount(orderSummary.membershipOrderItem.cost)}} {{orderSummary.membershipOrderItem.termName}}
{{orderSummary.membershipOrderItem.startDate}} - {{orderSummary.membershipOrderItem.endDate}}
Membership auto-renews monthly for {{ formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipInstallment.cost) }} until {{ orderSummary.membershipOrderItem.membershipInstallment.endDate }}
Membership auto-renews on {{orderSummary.membershipOrderItem.membershipAutoRenew.renewDate}} for {{formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipAutoRenew.cost)}}
{{orderSummary.membershipOrderItem!=null?smIndex+2:smIndex+1}}
{{sm.userName}} ({{subMemberDisplayName}})
{{sm.cost==0?'Free':formatAmount(sm.cost)}} {{sm.termName}}
{{sm.startDate}} - {{sm.endDate}}
Membership auto-renews monthly for {{ formatAutoRenewAmount(sm.membershipInstallment.cost) }} until {{ sm.membershipInstallment.endDate }}
Membership auto-renews on {{sm.membershipAutoRenew.renewDate}} for {{formatAutoRenewAmount(sm.membershipAutoRenew.cost)}}

Event: {{d.eventName}}

{{d.eventDateTime}}

Attendee Admission Amount
{{this.formCurrency.sign}} Donation {{formatAmount(orderSummary.donationAmount)}}
Frequency selected: {{recurringUnitDescription || recurringUnitText}}. Next add-on payment processes on {{orderSummary.recurringDonationNextDate}} for {{formatAmount(orderSummary.donationAmount)}}
{{this.formCurrency.sign}} Donation {{formatAmount(orderSummary.donationAmount)}}
Frequency selected: {{recurringUnitDescription || recurringUnitText}}. Next add-on payment processes on {{storeFormDonationNextDate}} for {{formatAmount(orderSummary.donationAmount)}}

Discount Code

{{item}}
 Code:
-{{formatAmount(orderSummary.codeDiscount)}}

Order summary

Discounts -{{formatAmount(orderSummary.discountTotal)}}
Subtotal {{formType==='PRODUCT' ? formatAmount(productNetSubtotal(orderSummary)) : formatAmount(orderSummary.subtotal)}}
Discounts -{{formatAmount(orderSummary.discounts)}}
Delivery Cost {{formatAmount(orderSummary.deliveryCost || 0)}}
Delivery Cost {{formatAmount(orderSummary.deliveryCost || 0)}}
Tax {{formatAmount(orderSummary.tax)}}
Tax {{formatAmount(orderSummary.tax || 0)}}
Tax {{formatAmount(orderSummary.taxAmount || 0)}}
Total {{formatAmount(orderSummary.total)}}
{{item}}
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.  Secure Payment

Card
or enter your card details below
{{item}}
{{item}}
{{item}}
{{item}}
Payment Form Unable to Load: Your payment form is blocked by a firewall. This is most commonly due to use of an anonymous, untrusted IP address. If you are using a VPN to anonymize your IP, we recommend connecting through your local IP to complete your payment.
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{ccfpInfo.notInGoodMessage || ''}}
{{item}}
{{formatAmount(totalAmount)}} USD
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.  Secure Payment