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SIGN UP NOW AND SAVE $$$!!
Adult¹ Individual:
$45.00
Team:
$220.00
(¹ Mil/Law/Fire/EMT/Mstrs)
Co-Ed Team:
$85.00
High School Individual:
$24.00
Team:
$115.00
Jr. Mud Runner
(ages 4-13)
$12.00ea
Registration Fees INCREASE June 6, 2008!
(Registration Fees increase $5.00 for Jr, $15.00 for Individuals and $25.00 for Teams)
*
REQUIRED
Welcome to our Registration Page!
Fill out the following information and click the "Submit" button. You will be redirected to PayPal to make payment to complete the registration process.
PLEASE NOTE: The charge to your credit card will appear as KATLOGIC INC.
*
Category
Individual
Team
Co-Ed Team
Male
Female
Mixed
How did you hear about us?
Select
Flyers
News Paper
Radio
Other
Other:
*
Type
Select
Military
EMT
Fire Fighter
High School
Law Enforcement
Masters (Over 45)
Jr Mud Runner
Civilian
Age:
Shirt Size:
S
M
L
XL
*
Team Name
*
Captains Name
First MI Last
*
Address
*
City
*
State
*
Zip
*
Phone
(Numbers Only)
Alt Phone
*
eMail Address
*
eMail Confirm
Organization
*
Team Member
*
Sex:
M
F
*
Age:
*
Shirt Size:
S
M
L
XL
*
Team Member #1
*
Sex:
M
F
*
Age:
*
Shirt Size:
S
M
L
XL
*
Team Member #2
*
Sex:
M
F
*
Age:
*
Shirt Size:
S
M
L
XL
*
Team Member #3
*
Sex:
M
F
*
Age:
*
Shirt Size:
S
M
L
XL
*
Team Member #4
*
Sex:
M
F
*
Age:
*
Shirt Size:
S
M
L
XL
*
I have read and agree to the
terms
of Event Particapation/ Junior Runners.
Payment must be received in order to complete the registration process.
© Copyright 2006-2008
All Rights Reserved.
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