Swim for Alligator Lighthouse Online Registration

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Registrant #1

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First Name *

Last Name *

Email Address *

Confirm Email *

Create Password *

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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 *

Solo Swimmer & Support Kayaker

Open to ages 15 - 99.

$230.00 + $14.80 SignUp Fee

(Group Pricing)

2 Person Relay

Open to ages 15 - 99.

$220.00 + $14.20 SignUp Fee

(Group Pricing)

3 Person Relay

Open to ages 15 - 99.

$210.00 + $13.60 SignUp Fee

(Group Pricing)

4 Person Relay

Open to ages 15 - 99.

$200.00 + $13.00 SignUp Fee

(Group Pricing)

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Swim for Alligator Lighthouse

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Registrant #1

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Choose Your Event *

2 Person Relay Male Pricing

2 Person Relay Female Pricing

2 Person Relay Mixed Pricing

Equipment Pricing

3 Person Relay Male Pricing

3 Person Relay Female Pricing

3 Person Relay Mixed Pricing

4 Person Relay Male Pricing

4 Person Relay Female Pricing

4 Person Relay Mixed Pricing

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Registrant #1

Warning! You are editing the account information for .

Choose Your Event *

2 Person Relay Male Pricing

2 Person Relay Female Pricing

2 Person Relay Mixed Pricing

Equipment Pricing

3 Person Relay Male Pricing

3 Person Relay Female Pricing

3 Person Relay Mixed Pricing

4 Person Relay Male Pricing

4 Person Relay Female Pricing

4 Person Relay Mixed Pricing

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