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California State PAC 5k Registration
CONTACT INFORMATION
Name
*
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Last
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*
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Email
*
PARTICIPANT INFORMATION
Adult Registration
Adult (18+)
Price:
Adult Quantity
ADULT 1 - Name
*
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ADULT 1 - T-Shirt Size
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ADULT 1 - Plans on:
*
Please answer for timing purposes.
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ADULT 2 - Name
*
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S
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ADULT 2 - Plans on:
*
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ADULT 3 - Name
*
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ADULT 3 - T-Shirt Size
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ADULT 3 - Plans on:
*
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ADULT 4 - Name
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ADULT 4 - Plans on:
*
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ADULT 5 - Name
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ADULT 5 - Plans on:
*
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Minor Registration
Minor (Under 18)
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MINOR 1 - Name
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MINOR 1 - T-Shirt Size
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MINOR 2 - Name
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MINOR 3 - Name
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MINOR 3 - T-Shirt Size
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MINOR 4 - Name
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MINOR 4 - T-Shirt Size
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XS
S
M
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MINOR 4 - Plans on:
*
Please answer for timing purposes.
Walking
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MINOR 5 - Name
*
First
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MINOR 5 - T-Shirt Size
*
All T-Shirts are unisex sizing
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XS
S
M
L
XL
2XL
MINOR 5- Plans on:
*
Please answer for timing purposes.
Walking
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Optional State PAC Donation
Donation Amount
Please enter numerical values only.
Would you like to contribute to the goody bags?
100 items required. Items may bear a company logo. Items must be received by February 7 to be included. Please deliver or ship to the APG office: 9 River Park Place East, Suite 410, Fresno, CA 93720.
Yes
No
Total
Total
$0.00
WAIVER: In consideration of your accepting my entry, I, intending to be legally bound, do hereby for myself, my heirs, executor, and administrators, waive and release any and all rights to claims or damages I may incur against American Pistachio Growers, Omni La Costa Resort, any and all volunteers, race officials, their agents, representatives, successors, or assigns, for any and all injuries, ailments, or other consequences suffered by me resulting from my participation in the APG State PAC 5k Run/Walk and assume any and all risk associated with participating in this event. I also give permission to use any photos of myself in promotional marketing material. I understand the event will be held rain or shine and there will be NO REFUNDS. By checking the box below, I acknowledge that I have read, do understand, and will adhere to this Waiver.
By checking this box, I agree to the waiver and that I am 18 or older, or that I have the authority to register these participants and agree to the waiver for them.
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