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VA Capital Trail Foundation
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Registration for 2017 VCU Health Cap2Cap Bike Ride :


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Registration for 2017 VCU Health Cap2Cap Bike Ride :

* Indicates a Required Question
* Category



* Choose a location for packet pickup (NOTE - location is date specific):


(Saturday packet pickup will be located at the venue)
* First Name
* Last Name
Participant Address
* Address line 1
Address line 2
* City
* State
Province
* Postal code
* Country

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* Email Address
* Phone Number
(Example: 800-555-1212)
* Birthdate
(Example: mm/dd/yyyy)
* Gender
* Emergency Contact Name
* Emergency Contact Phone Number
(Example: 800-555-1212)



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