RaceReach

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Diving Registration Form

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Categories *

Individual - $35.00

Team Member - $35.00

Team Name *

add new team

Participant Information

Contact Email *

Participant First Name *

Participant Last Name *

Participant Birthdate *

Participant Gender *

Female

Male

Country *

Street Address (w/Apt#) *

City *

State *

County *

Zip Code *

Phone *

Would you like to receive important event text alerts on this number (eg. changes or delays)?

Emergency Contact *

Emergency Phone *

Select the size of your free event apparel *

Free merchandise will only be available at opening ceremony

Which race or ethnicity best describes you? *

American Indian or Alaskan Native

Asian

Pacific Islander

Black or African American

Hispanic / Latino

White / Caucasian

Multiple Ethnicities / Other

First and Last Name of the Student Ambassador. *

Please be precise - this could help them win a SCHOLARSHIP!

Make a Donation

Adopt An Athlete
click here, to learn more about this cause

Amount $

Waiver *

I have read and agreed to the TERMS *

CLICK HERE TO VIEW THE TERMS.

Is the participant 18 or older? *

18 or older Under 18

Payment Details

Discount or Tracking Code

Apply

Do not COPY & PASTE the code, please type it into this field.

Price

Discount (-)

Handling

Donation

Total Owed

Payment Method

Visa

Mastercard

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