On-site / Reg - ChronoTrack

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First Name

Last Name

Birth Date

MM/DD/YYYY

Gender

Female Male Non Binary

Country

Postal Code

Email

Phone Number

We ask for email so we can communicate with you about this registration.

<p>I understand that my consent to these provisions is given in consideration of the acceptance of this registration and for being permitted to participate in this event. I am a voluntary participant and in good physical condition. I know this event is a potentially hazardous activity and hear by assume full and complete responsibility for any injury which may occur during my participation in this event while on the premises of this event, and I hereby release and hold harmless and covenant not to file suit against the Minnesota Zoo, its local affiliates and any affiliated individuals, any race sponsors and their agents and employees, and all persons or entities associated with this event from any loss, liability, damage or claims I have arising out of my participation in their event, including personal injury or damage suffered by me or others whether same be caused by falls, contact with other participants, conditions of the course, or any other. I give my full permission to the Minnesota Zoo and its affiliates and their sponsors and corporate partners to use any photographs, videotapes or recordings of me that are made during the course of the event.</p>

Parent/Guardian Initials

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Payment Type

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Name on Card

When you click 'Pay' your credit card will be charged .

Please pay attendant $ xxx

Bib

By Proxy

Please pay attendant $ xxx

Name
Hometown	,
Gender
Race
Race Age
Product

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Have a great race!