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Registration: Blues at the Crossroads Half Marathon (09/11/2010)
No shirts guaranteed on late registrations after Sept 1.
Your total Registration cost: $40.00 + $15.00 (Late Fee) = $ 55.00
USER INFORMATION
(
*
= required field )
First Name:
*
Last Name:
*
Address:
*
City:
*
State:
*
Zip Code:
*
Email:
*
Confirm Email:
*
Phone:
ADDITIONAL INFORMATION
Date of Birth: (MM-DD-YYYY):
*
Sex::
*
Male
Female
Shirt Size:
*
XS
S
M
L
XL
XXL
Will you be riding the bus from the Wabash Valley Family Sports Center to the race start in downtown:
*
Yes
No
I hereby represent that I am in good health and in proper physical condition for this event::
*
Agree
A small processing fee is added to online registrations:
*
Agree
I agree to the terms and conditions.
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