For God and Country Online Registration

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Registrant #1

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Last Name *

Email Address *

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Confirm Password *

Date of Birth *

Format: mm/dd/yyyy

Used for age group calculations

Gender *

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Phone *

Format: ###-###-####

Street Address *

Country *

Zip Code *

City *

State *

Choose Your Event *

Ages 8-99

For God and Country 2 mile Trail Obstacle Course Run

$20.00 + $2.20 SignUp Fee

(Group Pricing)

Age 8-99

For God and Country 2 Mile Run (No Obstacles)

$20.00 + $2.20 SignUp Fee

(Group Pricing)

Ages 6-10

Little Patriots 1 miler Obstacle Course Run

$10.00 + $1.60 SignUp Fee

(Group Pricing)

Ages 1-9

Patriots Playground

$5.00 + $1.30 SignUp Fee

(Group Pricing)

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For God and Country

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