Darlington Bed Race Team Registration


Please provide information about you and your team.

Full Name(*)
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E-mail(*)
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Phone(*)
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How should we contact you if we have questions?(*)
What is your team name?
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Rider's Full Name
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Rider's Date of Birth
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Runner #1 Full Name
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Runner #1 Date of Birth
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Runner #2 Full Name
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Runner #2 Date of Birth
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Runner #3 Full Name
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Runner #3 Date of Birth
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Runner #4 Full Name
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Runner #4 Date of Birth
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Runner #5 Full Name
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Runner #5 Date of Birth
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Team Payment
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Head Start
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Payment Total 0.00 USD

Special Thanks to all of the Boys & Girls Club of Noblesville Sponsors