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Registration Form

First name

Last name

Gender

Age

Date of Birth

Month

Day

Year

Phone

Emergency Contact Name

Phone Number

Prior Service Military?

Current Service Number (If Applicable)

Wave Time

Waiver & Acknowledgement

Please review the Raise The BAR Fitness Participant Agreement before completing your registration. This agreement includes important information regarding assumption of risk, release of liability, medical authorization, parent/guardian consent, and photo/video authorization.

View Participant Agreement (PDF)

Acknowledgement

By typing my full name below, I certify that I have read and understand the Participant Agreement and agree to be bound by its terms.

Participants Under 18: A parent or legal guardian must review and agree to the Participant Agreement on behalf of the minor participant. The parent or legal guardian must also be present with the minor at event check-in. Minor participants will not be permitted to check in or participate without a parent or legal guardian present at check-in.

Type your full name below to confirm your agreement:

Signature

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