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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 *

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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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Home
About Us
Run With Us
Membership
What's Happening?
Contact Us
- Team Contacts