Moab Senior Games

Registration Form

Athlete Information

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The first name of the participating athlete.
The last name of the participating athlete.
The mailing address of the participating athlete.
The city of the participating athlete.
Select the state of the participating athlete.
The Zip code of the participating athlete. It should be at least 5 numbers.
The email address of the participating athlete. Must be in the form of username@domain.com
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Emergency Contact

Events

Basketball

$7.00
$7.00
$7.00
$7.00

Canasta

$7.00

Golf

$21.00

Dancing

$4.00
$5.00
$3.00

Pickleball

$7.00
$7.00
$7.00

PowerWalk

$9.00
$9.00
$9.00

RaceWalk

$9.00
$9.00
$9.00

Swimming

Backstroke
$7.00
$7.00
$7.00
Breaststroke
$7.00
$7.00
$7.00
Butterfly
$7.00
$7.00
$7.00
Freestyle
$7.00
$7.00
$7.00

Table Tennis

$7.00
$7.00
$7.00

Tennis

$12.00
$12.00
$12.00

Track & Field

Track
$7.00
$7.00
$7.00
$7.00
$7.00
$7.00
Field
$7.00
$7.00
$7.00
$7.00
$7.00
$7.00
$7.00
$7.00
$7.00

Registration Fee Total:

${{ registrationFee }}
Your payment has been received. Click Register to complete registration