Clark-Miyamit Falls Trail Ultra 50M Registration
Email address *
Registration Type *
First Name *
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Last Name *
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Gender *
Birthdate *
Current Address *
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Country of Residence *
Nationality *
Emergency Contact Name *
First Name, Last Name
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Emergency Contact Number *
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Team Name / Sponsor
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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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