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Whirling ENTRY FORM Use 1 form per participant/form may be duplicated Full Name Mailing Address City/State/Zip () Phone number Saturday, June 4, 2011, Email Address Male 200 Keenan St Wilson, NC Age:
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This event is a charity run to raise funds for a local organization.
All participants of the run are required to register and file necessary paperwork.
Participants can fill out the registration forms online or in person at the event location.
The purpose of the run is to raise awareness and funds for a specific cause or organization.
Participants must report their personal information, emergency contact details, and sign a liability waiver form.
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