Information Request Form

Information Request
Name

First NameLast Name
E-mail
example@example.com
Phone Number

Area CodePhone Number
Requesting Information Regarding
Additional Instructions
Disclosure

I verify that I have full knowledge of the rigors in this event and the risk involved in participation I certify that I consider myself physically fit and sufficiently prepared to compete in this event. I agree to indemnify and hold harmless the U.S. Marine Corps against all civil action, claims for loss, or damage to property, injury or death caused in connection with participation in this event. The information you provide will be used for recruiting purposes only. Disclosure is voluntary.
Should be Empty:

Information Request