| *Re-type email: |
(Please enter an email address that can reach you. We ask for it twice to safeguard from typing errors.) |
| *Age: |
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| *Venue: |
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Declaration of Parent or Guardian: (If entrant is under age 18 on the day of the event.)
I certify that I am the parent/ guardian of the person named above and that he/she has my consent to enter this event.
(*) required fields
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