Clark -Miyamit Falls 60K Registration
Email address *
Registration Type *
First name *
Last name *
Gender *
Birthdate *
MM
/
DD
/
YYYY
Current Address *
Country of Residence *
Nationality *
Emergency Contact Name *
First Name, Last Name
Emergency Contact Number *
Team Name / Sponsor
Shirt Size *
Link to the Result of your Qualifying Race *
At least a 21K Trail Race or 42K Road Marathon within November 2018 to present.
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