Phagwathon registration form - INDIVIDUAL
FIRST NAME *
LAST NAME (FAMILY NAME) *
GENDER
Clear selection
ADDRESS *
BIRTH DATE *
MM
/
DD
/
YYYY
PHONE NUMBER / MOBILE *
SIZE CHART
SHIRT SIZE *
EVENT INFO
IN CASE OF EMERGENCY CONTACT - FULL NAME AND CONTACT NUMBER *
LIABILITY AND WAIVER AGREEMENT
I ATTEST TO BE PHYSICALLY/ MENTALLY FIT TO PARTICIPATE IN THE EVENT.
I ACKNOWLEDGE THAT I HAVE READ AND AGREE TO FOLLOW THE PARADE RULES AND REGULATIONS
PAYMENT LOCATION
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