Lions District 12-S

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Lions District 12-S The Middle Half Diabetes Team
Please register to be a part of the Lions District 12-S The Middle Half Diabetes Team. You must also register separately for the The Middle Half. A link to the online registration is at the bottom of the page. Items with a red asterisk are required.
First Name *
Last Name *
Address (Line 1)
Address (Line 2)
City
State
Zip Code
Telephone (with Area Code)
Email Address *
Confirm Email Address *
Age as of Oct. 16, 2010 *

I am over 18 years of age and have read, understood and agree with the terms of the Lions The Middle Half Waiver Release
I am under 18 and understand that my parent/guardian must attend the event with me and sign the waiver/release before I can participate.
I would like to know more about the Lions Clubs. Please have someone contact me.

Registration for the team does not register you for the race.
Click to open the The Middle Half web page.

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