Regency Mile Online Registration

Registrant #1

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First Name *

Last Name *

Email Address *

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Create Password *

This will be the password for your PaddleSignup account.

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Date of Birth *

Format: mm/dd/yyyy

Used for age group calculations

Gender *

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Phone *

Valid formats include: 000-000-0000 or 0000000000

Street Address *

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Zip Code *

City *

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Choose Your Event *

Open to Ages 10 & Up

Youth & Adult Mile: Ages 10 & UP

Open to ages 10+.

$15.00

(Group Pricing)

Open to Ages 9 & Under

Youth Mile: Ages 9 & UNDER

Open to ages 9 and under.

$15.00

(Group Pricing)

5 & Under 400 Meter Express Run

400m Express Run

Open to ages 5 and under.

$15.00

(Group Pricing)

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Regency Mile

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