Longest Day June 22, 2025

$20 per individual.

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Contact Name (Registrant 1) *

First

Last

Email *

Phone # *

Registrant 1 *

• 1 – $20.00

Individual or Team (+3) *

• Individual
• Team

Team Name

Registrant 2

• 2 – $20.00

Name Total Individual

Registrant 2 Name

First

Last

Registrant 3

• 3 – $20.00

Registrant 3 Name

First

Last

Registrant 4

• 4 – $20.00

Registrant 4 Name

First

Last

Total

$0.00

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For more information email: fityvrca@gmail.com