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Wheelchair Track & Field - Summer Iowa Games Registration

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Track and Field Registrant - $23.00

Participant Information

Contact Email *

Participant First Name *

Participant Last Name *

Participant Birthdate *

Participant Gender *

Female

Male

Country *

Street Address (w/Apt#) *

City *

State *

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 complementary t-shirt *

Cotton T-shirt is included with your entry fee. You may upgrade to dri-fit for an additional 12$.

Additional Information

100 M Dash ($2.00)

100 M Dash Seed

optional

: .

200 M Dash ($2.00)

200 M Dash Seed

optional

: .

Shot Put ($2.00)

Shot Put Seed

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If you are a part of a track club, please list the club name:

Iowa Games Event Updates

Would you like to receive text message updates from Iowa Games? *

Are you a past participant of the Summer Iowa Games? *

If you answered NO to the above question, please indicate how you heard about the Summer Iowa Games: *

Individual/Team Accomplishments:

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

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