River City Race Program

What organization do you represent*
Please enter racer name*
Name of contact person:*
First Last
Address:*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Sex*
Race*
Date of Birth*
MM slash DD slash YYYY
Social Security Number*
Every volunteer must complete a background check for the safety of our youth. Please supply your social security number below. It will be masked for your security.
Phone:*
Email:*
T-shirt size*
Background check authorization*
By checking this box I, authorize Let’s Grow STEAM^x, Inc. to request a background check on me.

We are monitoring developments in the spread of the coronavirus (COVID-19).
Social distancing guidelines are in place, and we will continue to follow the expert guidance of the
Centers for Disease Control (CDC), as well as state and local health agencies.
If you have any questions, please contact Robbie Branscomb directly at robbie@letsgrowsteam.org.

River City Race Program

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