Team Captain Online Registration Form

2017 DX-A2 Run - Date: 6/4/2017
Price: $65 to register your team

Team Rules: Minimum requirement of 5 RUNNERS,
up to 10 maximum.

Online registration closes on 6/2/2017 at 8pm EST

Refund Policy: NO REFUNDS unless you have been double charged or accidentally signed up more than once.



Additional Runner Information

First Name*:
Last Name*:



Address*:
City*:
State*:
Zip Code* (5 digit US/6 digit Canada):
Phone Number*:
E-Mail*:
Birth Date*.


Gender*:


Shirt Size*:


Before 3/15/2017
Race*:

Remove Runner

Team Challenge Information - Step #1 ...

* indicates required field  
   
Team Captain's First Name*:  Team Captain's Last Name*:
   
Will the Team Captain be a Runner?*


Please enter Team Name*:


Please select the type of team this will be*:





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