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Keene, NH, Appian Way, Keene, NH 03431
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Registrant Information
Registration Fee (until Sept. 1)
[+$80.00]
First Name
Last Name
Gender
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Male
Female
Age on Race Day
Address
City
Region
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Outside US/Canada
Alabama
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Not Listed
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Outside US/Canada
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Austria
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Canary Islands
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Germany
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Japan
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Libya
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Nigeria
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Northern Mariana Islands
Norway
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Poland
Ponape
Portugal
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Qatar
Republic of Ireland
Republic of Yemen
Reunion
Romania
Rota
Russia
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Slovenia
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South Africa
South Korea
Spain
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Sudan
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Email Address (to be used for race info)
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T-Shirt Size
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XS
S
M
L
XL
XXL
Emergency Contact Name
Emergency Contact Phone Number
Format: 999-999-9999
How did you find us?
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Ran in 2012
Ran Before
Coolrunning Calendar
Coolrunning Ad
NE Runner
Marathonguide
Other Directory
I know Alan
Ted's
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Other
If Other, Please Specify
Something interesting about you that the announcer can share as you finish (if they have a chance)
Are you a Rotarian?
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Yes
No
If so, what club?
Waiver & Agreement
Waiver
Agreement
I Accept & Agree
I Do NOT Accept & Agree
Acceptance required to complete registration
I would like to place another registration.
Please use this same information on the next form.
Registrations
Already registered but need to change something?
Modify Your Registration
When
SEP
29
8:00 AM - 2:00 PM
Available Online:
11/26/2012 - 9/27/2013
Contact
Alan Stroshine
racedirector@clarencedemar.com
Where
Keene, NH
Appian Way, Keene, NH 03431
All registrations are placed on a first-come, first-serve basis and are subject to current availability. Capacity and pricing may be changed without advance notice. By proceeding, you agree to the
Terms of Use
of this site.
ANY QUESTIONS OR COMMENTS CONCERNING AVAILABILITY SHOULD BE DIRECTED TO Alan Stroshine
racedirector@clarencedemar.com