Front Royal Light Fight

First & Last Name

Email Address

Phone Number

Address of Home Participating*

*Although your address is required for participation, it will remain confidential unless you'd like it to be displayed on the Light Fight Tour.

My address is:
ResidentialBusiness

Name of Business (if applicable)

I give permission for my address to be displayed on the Front Royal Light Fight tour.

I understand this competition is only within Warren County, VA. I reside in Warren County, VA.

I agree with the Waiver of Liability.

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