Event Director Name
Name of Event/Race
Date of Event
Street Address Line 2
State / Province
Postal / Zip Code
Explain terrain, location details (if any to add)
Upload map of course
Upload registration package/technical details (if you have one)
Additional Insured? Include full names and addresses.
Note any organizations, etc that need to be additionally insured. Include full name, and address of additional insureds.
Age groups offered?
Note the age ranges of participants per the registration package.
Should be Empty:
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