Child's LAST Name

Child's FIRST Name

Child's Age Group Child's Age Group 5 - 6 7 - 9 10 - 12

Child's T-shirt Size Child's T-shirt Size Youth SMALL Youth MEDIUM Youth LARGE Youth XL / Adult SMALL

Parent's LAST Name

Parent's FIRST Name

Parent's Phone

Email Address

Please check the box below to confirm the event for which you are registering Please check the box below to confirm the event for which you are registering Gate To Gate Kids Run

PLEASE NOTE:
Pre-registered event participants are required to pick up their Race Packets (containing their event t-shirt and other items) at the Eglin Youth Center PRIOR TO EVENT DAY. Youth Center Staff will inform registrants via email when their Race Packet is ready and available for pick-up.

Please check the box below to acknowledge that you have read and understand the above information regarding Race Packet pick-up prior to Event Day: Please check the box below to acknowledge that you have read and understand the above information regarding Race Packet pick-up prior to Event Day: Acknowledged

By checking the box above and clicking the "Submit" button to complete this form, you also acknowledge your understanding of and your consent to the following: All information submitted herein WILL NOT BE USED FOR ANY PURPOSE other than 1.) to secure the registrant's participation in this event and ONLY this event, 2.) to notify registrants of any further actions required for full event participation (i.e., pick-up of event-related items, specific instructions, etc.), and/or 3.) to notify registrants of significant changes to the event such as cancellation, safety concerns, emergencies, etc.