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2025 Live Healthy Iowa Local Site Registration Form

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Coordinator Information

Contact Email *

Coordinator First Name *

Coordinator Last Name *

Country *

Street Address (w/Apt#) *

City *

State *

County *

Zip Code *

Phone *

Would you like to receive important event text alerts on this number (eg. changes or delays)?

Coordinator Information

Event Coordinator Organization: *

Secondary Event Coordinator Name: *

Secondary Event Coordinator Email Address:

Secondary Event Coordinator Phone Number:

Local Meet Information

Location of Event (Stadium/Track Name and Address): *

Name *

Country *

Street Address *

City *

State *

Zip Code *

Date of Event: *

Rain Date of Event (optional):

Time of Event: *

Is this a community event or a school-based event? *

What age groups will you offer in your local competition? (Note: The 6 and Under age group is not eligible to qualify for the state meet.) *

6 and Under

7-8 year olds

9-10 year olds

11-12 year olds

13-14 year olds

Please indicate which events will be offered for 6 & Under youth at your site. *

Standing Long Jump

Softball Throw

50 Meter Dash

100 Meter Dash

Please indicate which events will be offered for 7-8 year old youth at your site. *

Standing Long Jump

Softball Throw

50 Meter Dash

100 Meter Dash

200 Meter Dash

400 Meter Dash

4x100 Meter Relay

Please indicate which events will be offered for 9-10 year old youth at your site. *

Standing Long Jump

Softball Throw

50 Meter Dash

100 Meter Dash

200 Meter Dash

400 Meter Dash

800 Meter Dash

4x100 Meter Relay

Please indicate which events will be offered for 11-12 year old youth at your site. *

Standing Long Jump

Softball Throw

100 Meter Dash

200 Meter Dash

400 Meter Dash

800 Meter Dash

1600 Meter Dash

4x100 Meter Relay

Please indicate which events will be offered for 13-14 year old youth at your site. *

Standing Long Jump

Softball Throw

100 Meter Dash

200 Meter Dash

400 Meter Dash

800 Meter Dash

1600 Meter Dash

4x100 Meter Relay

Would your site like participation ribbons? *All sites will receive place ribbons* *

Participant Registration

Will you be using Live Healthy Iowa's registration system? (RaceReach) *

If no, please include your registration link here

What date will you open registration? *

What time will you open registration? *

What date will you close registration? *

What time will you close registration? *

Will you accept on-site registration? *

Estimated number of participants (total). *

Would you like a customized flier for your use? *

Submit

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2025 Live Healthy Iowa Local Site Registration Form

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