Price Hill Pacer Training Registration

 

Contact Information

Title
First Name*
Middle Name
Last Name*
Country
State / Province*
Address
City
Email*
Confirm Email*
Phone
Can you receive text messages
  • Yes
  • No

Other Information

Shirt Size (Shirt may be a Price Hill Pacer Training or previous year Price Hill Pacer tee shirt)
  • Small - limited shirts available
  • Medium
  • Large
  • X Large
  • 2X Large
  • 3X Large
I speak Spanish
  • Yes
  • No
Please list food allergies, if any
I need
  • Bus tokens for travel to and from training sessions
Birthdate Month (enter 2-digit number)*
Birthdate Day*
Birthdate Year*
Additional Comments

Security Code

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