Zombie Fun Run Registration
  1. This registration form is for children 10 and under only.

  2. Full Name(*)
    Please enter your full name.
  3. Gender(*)
    Please select your gender.
  4. Date of Birth(*)
    Please enter your date of birth.
  5. Age(*)
    Please enter your age.
  6. Street Address(*)
    Please enter your street address.
  7. City(*)
    Please enter your city.
  8. State(*)
    Please enter your state code.
  9. Zip Code(*)
    Please enter your zip code.
  10. Phone Number(*)
    Please enter the best phone number to reach you.
  11. Municipality of Residence(*)

    Invalid Input
  12. Email Address
    Please enter your email address.
  13. By submitting this registration form you agree to the following:(*)
    Invalid Input
  14. Photo Opt-Out Release Statement

    Invalid Input
  15. Parents, please type your name as an electronic signature(*)
    Invalid Input
  16. T-Shirt Size

    Invalid Input
  17. Total
    0.00 USD
  18. Note: Registration confirmation will not be sent if email address is not provided. Please allow up to 72 hours for confirmation email.

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