Registration - So Cal Pacers

Pacer Waiver

Please read the waiver below and type your name and date in lieu of a signature.

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Birthday *

Please read and sign name and date below, agreeing to waiver. PLEASE NOTE, your typed signature will take the place of a signature. *

Signature1 *

Please read and sign name and date below, agreeing to waiver. PLEASE NOTE, your typed name will take the place of a signature. *

Signature2 *

T-Shirt Size *

Mens and Women’s

Registration Fee *

Total

$ 0.00