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Registration
Registration Opens Spring 2012
City:
*
[-Choose one-]
Dallas
Event:
*
Adventure Rat Race Single Day
Group:
*
[-Choose one-]
Solo male
Solo Female
2 Person Male
2 Person Female
2 Person Co-Ed
3 Person Male
3 Person Female
3 Person Co-Ed
Team Name:
*
Password:
*
Promo Code:
First Name:
*
Last Name:
*
Sex:
*
Male
Female
T Shirt Size:
Small
Medium
Large
X_large
Date of Birth:
*
Must be 18 years or older
Address Line:
*
City:
*
Zip Code:
*
Email Address:
*
Email Address Confirmation:
*
Contact Number:
Please note that a medical form will be issued on the reverse of your race number AT the event. It is your responsibility to fill in and keep it with you at all times during the event. Furthermore, there will be a medical form to be completed and left with the organizers at Packet Pick Up.
Full Legal Name
Date of Signature
Electronic Signature
Confirmation
I have read and understood the
Terms and Conditions
of Entry
Yes I Agree