Registration – Minors

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Parental Registration For Minors

All information must be correct. Please read the following links before completing.

Please READ HERE why we require the following information for children to attend.

Read the event WAIVER for children

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Event Location?

Order Number

Event Date

Shirt Size If Your registration Includes A T-Shirt

Registion Type

Cotton Candy Purple Haze Color Queen Virtual Color - Virtual Run

ADA Accessibility Needs

Yes No

First Name

Last Name

Age

Biological Sex

Female Male

Address

City

State

Emergency Contact

Emergency Contact Number

First & Last Name Of Birth Father

First & Last Name Of Birth Mother

Please Type The Following To Confirm You Agree To The Event's Rules & Understand That Falsifying This Form Will Result In A Permanent Ban & No Refund: "I Understand And Agree"

Type Your Name To Sign

Please upload a photo of Childs birth certificate to verify they're your child

Please upload a photo of a teens drivers license, or school ID if no license

Custody Status (check one):

I have sole custody of this minor. I have joint/shared custody I am not the parent/legal guardian

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