Please fill out the following information to register for the Ed Snell Memorial Race:

Racer's Information:
*Name:	First    Last
*Email:
Phone:	(example:123-123-1234)
Address:
City:	,    State: Please Select Alaska Alabama AP Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico New York Nevada Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming Puerto Rico    Zip:
Choose one:	Runner       Walker
Group:	9 or less 40's 10-13  50's 14-19  60's 20's  70's 30's   80's Challenge (with disabilities)
Gender:	Male         Female
T-shirt size:	Child: Small         Medium        Large   Or Adult:   Small         Medium        Large       X-Large

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Please use this space for any additional comments or instructions you may have:

 Please check here if you would like to donate $1.00 to help maintain the bike path