Beer Mile Online Registration

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Registrant #1

Who are you registering? *

First Name *

Last Name *

Email Address *

Confirm Email *

Create Password *

This will be the password for your RunSignup account.

Confirm Password *

Date of Birth *

Format: mm/dd/yyyy

Used for age group calculations

Gender *

Male Female

Phone *

Valid formats include: 000-000-0000 or 0000000000

Street Address *

Country *

Zip Code *

City *

State *

Choose Your Event(s) *

Beer Mile

Open to ages 21 - 99.

$50.00 + $4.00 SignUp Fee

(Group Pricing)

Non Beer Mile

Open to ages 18 - 99.

$50.00 + $4.00 SignUp Fee

(Group Pricing)

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Beer Mile

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