Highlands Gravel Classic Online Registration

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Registrant #1

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First Name *

Last Name *

Email Address *

Confirm Email *

Create Password *

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Confirm Password *

Date of Birth *

Format: mm/dd/yyyy

Used for age group calculations

Gender *

Male Female

Phone *

Valid formats include: 000-000-0000 or 0000000000

Street Address *

Country *

Zip Code *

City *

State *

Choose Your Event *

Highlands-Women (19-49)

Open to ages 14 - 49.

$85.00 + $7.40 SignUp Fee

(Group Pricing)

Farmlands-Women (50+)

Open to ages 50 - 99.

$75.00 + $6.70 SignUp Fee

(Group Pricing)

Highlands-Men (19-59)

Open to ages 14 - 59.

$85.00 + $7.40 SignUp Fee

(Group Pricing)

Farmlands-Men (60+)

Open to ages 60 - 99.

$75.00 + $6.70 SignUp Fee

(Group Pricing)

Elite - UCI

Open to ages 19+.

$85.00 + $7.40 SignUp Fee

(Group Pricing)

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Highlands Gravel Classic

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