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Team Registration

Fields marked with a * are required

Number of Teammates:* Team of 2;
      Entry Fee: $300
 
Team of 3;
      Entry Fee: $405
 

Team Name: *
Team Composition: *
Team Url:   
(will be linked via your team name in results and team listings)
 
Team Captain
Last Name: *
First Name: *
Age: *
Sex: *Male Female
eMail: *
Home Phone: ()-
Work Phone: ()-
Shirt Size: *
Mailing Address:
Street: *
City: *
State: *
Zip: *
Country:
 
Teammate #1
Last Name: *
First Name: *
Age: *
Sex: *Male Female
eMail:
State: *
Phone: ()-
Shirt Size: *
 
Teammate #2
Last Name: *
First Name: *
Age: *
Sex: *Male Female
eMail:
State: *
Phone: ()-
Shirt Size: *
 
Team Notes, Comments, Thoughts
 
How Did You Hear About Our Race?