2010MarathonPaperRegistration

2010MarathonPaperRegistration - 2010 Registration Form...

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2 3 4 5 7 6 8 10 / / 11 12 16 17 18 - - - - LAST NAME SUFFIX FIRST NAME M.I. STREET ADDRESS/APARTMENT NUMBER CITY STATE/PROVINCE ZIP/POSTAL CODE WHEELED MARATHON DIVISION (CHECK ONE) SEX M/F DATE OF BIRTH AGE (ON 9/18/2010) DAYTIME TELEPHONE NUMBER EVENING TELEPHONE NUMBER 14 PREVIOUS AIR FORCE MARATHONS 13 Yes No IS THIS YOUR FIRST MARATHON? E-MAIL ADDRESS (PLEASE PRINT) WAIVER MUST BE SIGNED TO BE PROCESSED 21 WAIVER - REQUIRED SIGNATURE OF PARENT OR LEGAL GUARDIAN - FOR PARTICIPANTS UNDER 18 YEARS OF AGE DATE SIGNATURE OF PARTICIPANT DATE X X United States Air Force Marathon September 18, 2010 2010 Registration Form REGISTRATION FEE IS NON-REFUNDABLE AND NON-TRANSERABLE 19 AIR FORCE MARATHON GUEST ENTRY FEES 22 STATUS ACTIVE DUTY MILITARY (Circle branch of service) USAF USA USN USMC USCG NATIONAL GUARD FOREIGN MILITARY CIVILIAN (Non military) MIL RANK/GRADE ________ MAJOR CMD ______ BASE/POST _______________________________ T-SHIRT SIZE (CIRCLE ONE) 20 MEN’S S M L XL XXL WOMEN’S S M L XL XXL CHECK THE EVENT YOU ARE ENTERING
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