Seeded Athlete Information Form



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Name
Age (on race day)
Birth Date (month/day/year)
Sex
FemaleMale
Mailing Address
Social Security Number (if applicable)
Email Address
Phone Number
Country of Origin
Citizenship
Agent (if applicable)
Education
Other Information
Event You Are Interested In
Tri-City Medical Center Carlsbad MarathonTri-City Medical Center Carlsbad Half Marathon
PERFORMANCE AT PAST CARLSBAD MARATHON/HALF MARATHON EVENTS
Event Year/Finish Time/Finish Place
RACE RESULTS IN THE LAST 24 MONTHS (Time/Race Name/Date)
Marathon:
Half Marathon:
10K:
5K:
PERSONAL RECORD (Time/Race Name/Date)
Marathon:
Half Marathon:
TRAVEL PLANS (if applicable)
Arrival/Departure Details:
Length of Stay in Carlsbad: