Salt City Run for the Rocks Half Marathon

Registration

Registration fee: $55

Now through June 30th

*Name:
Address:
City:
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Zip:
*Email:
*Confirm Email:
Phone:
*Age (as of Sept 23, 2012):
*Gender:
*Shirt Size:
Emergency Contact
*Name:
*Phone:
Personal Notes :	(e.g.: Mother of three, First-time half-marathon finisher, Just celebrated his/her 80th Birthday!

*	I have read the liability waiver, and agree to the terms of participating in this event.
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After submitting this form, you will be directed to a page with payment information. Once your payment has been received, we will notify you.