Kids Dash Race Registration
Register your child for the upcoming Kids Dash Race. Please complete all sections and ensure parental consent is provided.
Participant's Full Name
*
First Name
Last Name
Participant's Date of Birth
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Age
*
Gender
*
Male
Female
Other
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Email Address
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Does the participant have any allergies or medical conditions?
Race Category
*
Please Select
3-5 years (50m Dash)
6-8 years (100m Dash)
9-11 years (200m Dash)
12-14 years (400m Dash)
T-shirt Size
*
Please Select
XS (4-5 years)
S (6-7 years)
M (8-9 years)
L (10-11 years)
XL (12-14 years)
Parent/Guardian Signature
*
Register
Register
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