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1000 Mile Challenge Registration

1000 Mile Challenge1,000 Mile Challenge Registration

Are you ready to accept the 1,000 Mile Challenge?

Individual Registration:
If you are registering as an individual, read and accept the Rules, Terms & Conditions by checking the checkbox on the form below. Then complete the form and click the “Register Now” button to begin the registration process. You will be forwarded to PayPal® to complete your secure transaction. You do not have to have a PayPal account to proceed. Once completed you will be returned to the 1,000 Mile Challenge Mileage Login page where you can begin to enter the date and distance information you have completed. You are not required to sign in each time, therefore, no need to remember a username and password. You only need to register one time per year per participant.

Name: *
Address: *
Phone: *
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E-mail: *
Gender: *
Date Registered: *
Age Range: *
T-shirt size: *
Rules, Terms, & Conditions:
Waiver: *
Registration fee: *
 $ 

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