2020 Dam Run Registration How many people are you registering for the 2020 Dam Run?*Please enter the total number of paid registrations (racers age 13 and older). Price: $30.00 Quantity: Race Participant Names*Please list the names of the people you are registering, including yourself and free racers (children age 12 and under). You can add as many rows as you need with the + button.First NameLast NameAgeRace (20 mi, 10mi, or 5k) Your Information and PaymentName* First Last Your Age*Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* PhoneWaiver and ReleaseBy completing this online registration and in consideration of the opportunity to participate in this event, on behalf of myself or a minor and the other persons for whom I am legally responsible on this registration form, I hereby acknowledge and assume any and all risks associated with my/our participation. Further, on behalf of myself or a minor or other person for whom I am legally responsible, I hereby waive any claims and release the event’s sponsors, officials, their officers, directors, representative, employees, and /or agents from any liability for any injuries, damages, losses, or expenses that may be caused by or arise from my participation in the event or that of a minor or other person for whom I am legally responsible.Total $0.00 Payment* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Expiration Date Security Code Cardholder Name This iframe contains the logic required to handle Ajax powered Gravity Forms.