When you click SUBMIT, you will send this form to the Maine Games, AND your email address. YOU MUST PRINT OFF THIS EMAIL and send it with the waiver form (found on the Thank You page when you submit the form), and your full registration fee based on the date. Your registration won't be accepted UNTIL we receive your hard copy, your waiver, and your full fee.
MAINE GAMES CROSS COUNTRY

LAST NAME *
FIRST NAME *
ADDRESS *
CITY/TOWN *
STATE *
ZIP CODE *
EMAIL ADDRESS *
DAYTIME PHONE NO. *
ALTERNATE PHONE NO. *
GENDER *
 MALE  
  FEMALE 
DATE OF BIRTH *
AGE ON DATE OF EVENT
(OPTIONAL) T-SHIRT SIZE *
REGISTRATION FEE (BASED ON DATE)
MAKE A TAX-DEDUCTIBLE DONATION TO THE MAINE GAMES
TOTAL PAYMENT *
CHECK NUMBER
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