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Kids Cup Double 1.5 Mile Race Signup - Double Road Race

This race is designed for children 13 and under. Join us at 8:25 AM December 17, 2016
A Parent or Legal Guardian **must** complete the information. One entry blank per person. We require your complete information in all fields.
Please note, no web addresses are permitted in any field except your valid email address. Thank you.

Christmas Double 8K Run/Walk Signup · Double Road Race (10K+5K) Signup · Kids Cup Double 1.5 Mile Signup
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Runner Name
First NameLast Name
Date of Birth
YearMonthDay
Sex
T-Shirt Size Kids Sizes
Parent Address
Parent First NameParent Last Name
Street
CityStateZip
Country
Parent Phone Please include area code (and country code, if outside US.)
Parent Email Address
Verify Email Address
Emergency Contact
Name
Phone
Please include country code, if outside US.
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