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Assist with packet pickup during 8 On Your Side Health and Fitness Expo
   Friday, February 22, 2013 (01:00 PM - 05:00 PM)

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* Last Name:
* Address:
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* Gender Female Male
* Date of Birth:  
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INFO FOR PARENT/GUARDIAN COMPLETING THIS REGISTRATION
Registration for minors must be completed by a Parent or Legal Guardian. If your age on race day is less than 18 years old, please fill in the Parent/Guardian Contact Information below. Providing such information and continuing this process indicates that this registration was completed by the person listed below.
Parent/Guardian Name:
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