Register Miracle Miles_X

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Registration Form

Complete and submit the following registration form.
Click to View and Read the Event Waiver and Release of Liability.
Submit Donation of $20 for Batting 4 A Cure.

* Indicates required field

Name *

First

Last

Gender *

Male Female

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Birth Date

Month *

Day *

Year *

Age *

Enter your age on the day of the event.

Parent/Guardian (if under 18) *

First

Last

Parental Consent*
Click Here to view and print Parental Consent for members under 18.

Event Participation Waiver*
Click Here to view the Waiver and Release of Liability.

Waiver and Release Acknowledgement *

I acknowledge the Waiver and Release of Liability

Tell us which races you plan to participate.

Select all that apply *

Prediction Mile DMR (Distance Relay 1200-400-800-1600) Open Mile Mile Relay (4x400)

Tell us how you heard about the Miracle Miles.

Select all that apply *

Facebook Instagram Twitter Email Dick Pond (In Store) Dick Pond Racing Friend Other

Select all that apply.

By clicking SUBMIT, you agree to have read, acknowledged, and understand our Event Waiver and Release of Liability.

Submit

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STRAVA

GARMIN

Home
About Us
- Our Members
- Sponsors
- FAQ
Run With Us
Membership
What's Happening?
Contact Us
- Team Contacts