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Get MI Challenge Mountain Participant Registration 2016-2024

Participant Registration Release of Liability & Consent to Participate Please Print Legibly Date Name Age Address City State Home Phone Zip Cell Phone Email Address By including your email address, you may receive correspondence about Challenge Mountain Resale Store and programs. Disability Yes No Type of Disability Prescription Drugs, if any Prosthetic Devices (braces, rods, etc.) Emergency Contact Phone Initial Below There are inherent risks involved with any Challenge.

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