First Name

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Last Name

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U.S. Street Address

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Zip Code

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City

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State

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Phone Number

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Education Level

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School Name

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Email (Optional)

Terms & Conditions

By submitting this information I verify that I have full knowledge of the rigors in this event and the risk involved in participation. I certify that I consider myself physically fit and sufficiently prepared to compete in this event. I agree to indemnify and hold harmless the U.S. Marine Corps against all civil action, claims for loss or damage of property, injury, or death caused in connection with participation in this event. The information you provide will be used for recruiting purposes only. Disclosure is voluntary.

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