The Man-Date Registration

6/13/2026 | Please fill out this form and click submit.

Primary Registration $40

Name

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

T-Shirt Size

*

Please select one option.

S M L XL XXL XXXL

Add a guest for only $25 more.

Guest Name

Guest Email

This address will receive a confirmation email

Guest Phone

Guest Address

Guest T-Shirt Size

Please select one option.

S M L XL XXL XXXL

Registration Fee

Single Registration ($40.00) Register with a Guest ($65)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

6/13/2026

Please fill out this form and click submit.

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