Take a Hike 2010 Registration

Registering as: (please check one):

$20.00 Adult (+18) * No children 12 or under $20.00 Adult (+18) * With 1 child 12 or under $30.00 Adult (+18) * With 2 children 12 or under $40.00 Adult (+18) * With 3 children 12 or under $15.00 Youth 13 - 17 $10.00 Senior 65 and Older $25.00 Couple (Teen 13-17) $30.00 Couple (Adult +18) $40.00 3 Hikers $50.00 4 Hikers $60.00 5 Hikers $70.00 6 Hikers

Required:

Registering As:
Amount:
Name:
Desired User Name:
Desired Password:
Accept Terms:	- Yes (Must Agree to Terms and Conditions)
Birthday (MM/DD/YYYY format)
Address
Email
Phone(s)
T-Shirt Type	Select Adult or Youth Adult Youth
T-Shirt Size	Select T-Shirt Size Small Medium Large X Large XX Large (Adult Only)

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Name:
Birthday
Email
Phone(s)
T-Shirt Size	Select Adult or Youth Adult Youth
T-Shirt Size	Select T-Shirt Size Small Medium Large X Large XX Large (Adult Only)

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Name:
Birthday
Email
Phone(s)
T-Shirt Size	Select Adult or Youth Adult Youth
T-Shirt Size	Select T-Shirt Size Small Medium Large X Large XX Large (Adult Only)

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Name:
Birthday
Email
Phone(s)
T-Shirt Size	Select Adult or Youth Adult Youth
T-Shirt Size	Select T-Shirt Size Small Medium Large X Large XX Large (Adult Only)

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Name:
Birthday
Email
Phone(s)
T-Shirt Size	Select Adult or Youth Adult Youth
T-Shirt Size	Select T-Shirt Size Small Medium Large X Large XX Large (Adult Only)

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Name:
Birthday
Email
Phone(s)
T-Shirt Size	Select Adult or Youth Adult Youth
T-Shirt Size	Select T-Shirt Size Small Medium Large X Large XX Large (Adult Only)

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Please select the correct image description:

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Please select the correct image description:

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Please select the correct image description:

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Please select the correct image description:

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Please select the correct image description:

Select Apples Puppy Truck Bird Shoe Select Purple Yellow Red Blue Green