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KLR 3 for the 4th Race Registration Form
* Who are you registering for this event?
Someone else, 18 or older
Someone else under 18
Guardian First Name:
Guardian Last Name:
Guardian Date of Birth (mm/dd/yyyy):
You are this person's parent or legal guardian.
You must be the parent or legal guardian to register someone under 18 years old.
By regeristering a child under 13, you are consenting to the collection of the child's information that you are providing for the purposes of registration.
Date of Birth (mm/dd/yyyy) :
Age on race day:
Emergency Contact Name:
Emergency Contact Phone:
(Please type in your name)