Intro to Agility Course

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Running and Fitness
Sign Up Form

Intro to Running and Fitness Summer Camp (4-6 year olds)
REGISTRATION FORM
Please fill out the form below before June 1st!

Participant First Name

Participant Last Name

Participant Gender

Participant Birthday * required

Parent's Email Address

Is the participant under 18 years old?

Parent/Guardian Name

Parent/Guardian Email

Parent/Guardian Phone

Name & Phone of Additional Emergency Contact

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country

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Additional Comments

I agree to the Liability Waiver & ReleaseView Waiver

By Registering, you release all liability for Mountain Movers Kids Inc. Thank you for registering!

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Mountain Movers Kids, Inc.

Tax Id: 93-3567676

*501(c)(3)

Rockford, TN 37853

MOUNTAIN MOVERS XC

CONTACT INFORMATION

Michele Yates

Email: michele@ruggedrunning.com

All prices are in USD. ©2024 by Mountain Movers Kids, Inc.

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