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Online Entry Confirmation Receipt:
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Event:
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YMCA 5K and Pump 'n Run 5K
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Race/ Category:
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YMCA 5K
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Name:
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Jacob Gjerde
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Event Day Age:
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BLOCKED
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Gender:
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M
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Registration Date:
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10/06/2009
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Registration Method:
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OFFLINE (Mail-in/ Walk-in)
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Registration Status:
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PICKED UP (All)
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Bib:
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407
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Apparel Size:
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S
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Apparel Style:
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Short-Sleeved
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Apparel :
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Cotton t-Shirt (Qty: 1)
Size: S
Style: Short-Sleeved
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Authorization Letter
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I, Jacob Gjerde, hereby authorize __________________________________ to act on my behalf to pick up my packet for the YMCA 5K and Pump 'n Run 5K '09. Any and all acts carried out on my behalf shall have the same affect as acts of my own.
____________________________
Name: Jacob Gjerde
Date: 9/6/10
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