Registration
Select Race (*)

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First Name (*)

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Last Name (*)

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Age (*)

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Address (*)

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City (*)

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State (*)

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Zip Code (*)

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Cell Number (*)

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Email Address (*)

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Waiver * I understand that my consent to these provisions is given in consideration of the acceptance of this Volunteer Form and for being permitted to participate in this event. I am a voluntary participant in this event, and in good physical condition. I hereby assume full and complete responsibility for any injury or accident which may occur during my participation in this event and I hereby release and hold harmless and covenant not to file suit against Alamance-Burlington School System, Southern Alamance High School, and race organizers whose property and/or personnel are used, and all other persons or entities associated with this event from any loss, liability, damage, or claims I may have arising out of my participation in this event, including personal injury or damage suffered by me or others. I give my full permission to ABSS to use any photographs, videotapes, or other recordings of me that are made during the course of this event. I also give my full permission for first aid as deemed necessary to be provided to me on the premises or prior to transport to a hospital for further treatment.

(*)

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Additional Donation

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Select Option

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Total
0.00 USD



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