PRA Miner Gold Rush Online Registration

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Other Adult Adult, 18+

Minor Under 18

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Basic Info

First Name *

Last Name *

Email Address *

Confirm Email *

Password *

To be able to access / edit your registration.

Confirm Password *

Additional Information

Date of Birth *

Format: mm/dd/yyyy

Used for age group calculations

Gender * Male Female

Phone *

Format: ###-###-####

Address

Street Address *

Country *

Zip Code *

City *

State *

Choose Your Event *

5K Run + Fall Festival $35.00 + $4.00 SignUp Fee (Group Pricing)
1 Mile Fun Run + Fall Festival $25.00 + $3.50 SignUp Fee (Group Pricing)
Fall Festival Only $15.00 + $3.50 SignUp Fee (Group Pricing)

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PRA Miner Gold Rush

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Registrant #1

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