Registration Form
Enter all required information to register participant(s)
Name
*
First Name
Last Name
Email
*
example@example.com
Age as of September 30th 2023
*
The age should reflect what age you will be on September 30th 2023
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How many participants are you registering including yourself?
*
If only registering yourself the field should be 1.
5 or more participants are eligible for group discount
You may continue or to receive the group discount, head back to our website and use the Group Registration Form
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Extra participants
Please fill in the names, ages, and shirt sizes of the other participants. Reminder: Groups of 5 or more qualify for a group discount and should use the other form on our main page.
Name
*
First Name
Last Name
Age as of September 30th 2023
*
The age should reflect what age you will be on September 30th 2023
Name
*
First Name
Last Name
Age as of September 30th 2023
*
The age should reflect what age you will be on September 30th 2023
Name
*
First Name
Last Name
Age as of September 30th 2023
*
The age should reflect what age you will be on September 30th 2023
Name
*
First Name
Last Name
Age as of September 30th 2023
*
The age should reflect what age you will be on September 30th 2023
Name
*
First Name
Last Name
Age as of September 30th 2023
*
The age should reflect what age you will be on September 30th 2023
Name
*
First Name
Last Name
Age as of September 30th 2023
*
The age should reflect what age you will be on September 30th 2023
Name
*
First Name
Last Name
Age as of September 30th 2023
*
The age should reflect what age you will be on September 30th 2023
Name
*
First Name
Last Name
Age as of September 30th 2023
*
The age should reflect what age you will be on September 30th 2023
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My Products
*
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( X )
1 Adult Registration (13+)
$
25.00
Quantity
0
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1 Age 6-12 Registration
Students & Military Qualify with valid I.D. presented on Race Day
$
20.00
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1 Kid Registration (5 & Under)
$
Free
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Donation
We graciously will accept donations if you feel inclined to!
$
1.00
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Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Submit
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