2019 Kids Race (Age 12 and younger)

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First Name * Maximum of 1000 characters

Last Name * Maximum of 1000 characters

Age on 6/15/19 * Maximum of 1000 characters

Street Address * Maximum of 1000 characters

City * Maximum of 1000 characters

State * Maximum of 1000 characters

ZIP Code * Maximum of 1000 characters

Parent/Guardian Phone Number * Maximum of 1000 characters

Parent/Guardian Email Address * Maximum of 1000 characters

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