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Vmps Tuesday Night Time Trials
Use this form to register for the Tuesday Night Time Trials. Choose from the series or an individual time trial. If you are new to our Tuesday night time trial, apply the promo code FIRST to get your first time trial for free.
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First Name
*
Last Name
*
Phone
*
Email
*
Release and waiver of liability
*
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
Parent or Legal Guardian’s Signature - By providing your electronic signature you agree that you have the authority to register these participants and agree to the waiver(s) for them as their parent or legal guardian.
If registering a child under 18, you are consenting to the collection of the child's information that you are providing for the purposes of registration.
Parent's signature
Time Trial Series
$100
Multi week series
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This Week's Time Trial
$10
Single time trial
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Select this item
Payment Details
Discount or Tracking Code
Apply
Do not COPY & PASTE the code, please type it into this field.
Price
$
Discount (-)
$
Credits (-)
$
available $
0
Total
no handling
$
Handling
$
Total Owed
$
Payment Method
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Visa
Mastercard
Payable To:
Address:
click the "submit" button to submit your order then send a check to (or pay in person at) the address above.
1. Venmo the total amount to the Phone #:
2. Make sure you enter the code,
40038
in "What's it for".
3. Click the "pay now" button.
Enter a Check Number
Enter a Check Amount
Send email receipt to the participant
Send email receipt to the participant
Purchase
Purchase
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