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Miles for Medicine 2019 Registration
Are you a member of LSU AED? *
If an AED member recruited you to this race, what is his/her name? *
Your answer
Your first and last name *
Your answer
Gender *
T shirt size
I agree to pay with PayPal or bring a filled out check to the race. (PayPal link is below the registration form link) *By agreeing to this statement, you are accepting to pay the $20.00 early registration fee, and you will be held accountable for said fee. *
By signing this form (Type FULL NAME below), I hereby release LSU or anyone directly or indirectly involved with this program from any liability or injury sustained through my participation. I understand that all entry, eligibility, and playing rules for this event as established by Alpha Epsilon Delta Louisiana Beta. Failure to comply with these rules may result in my suspension from competition in this event. I further attest that I am in proper physical condition and have adequate training for completion of this event and that a licensed medical doctor has verified my physical condition for strenuous exercise. *
Your answer
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