Team Name (this is not the name of the school you are affiliated with but is the creative name of your team of three) *
Your answer
Will your team be running or walking? (teams must choose to be either runners or walkers...mixed teams are not allowed) *
Team Captain Name *
Your answer
Team captain gender (must choose male or female as this is how the Corporate Cup registration website is set up. I am not able to include other options) *
Required
Team Captain Emergency contact phone number *
Your answer
Team Captain age *
Your answer
Team captain home mailing address *
Your answer
Team captain home phone *
Your answer
Team captain email address *
Your answer
Team member #2 name
Your answer
Team member #2 gender (must choose male or female as this is how the Corporate Cup registration website is set up. I am not able to include other options)
Clear selection
Team member #2 emergency contact phone number
Your answer
Team member #2 age
Your answer
Team member #2 home mailing address
Your answer
Team member #2 home phone
Your answer
Team member #2 email address
Your answer
Team member #3 name
Your answer
Team member #3 gender (must choose male or female as this is how the Corporate Cup registration website is set up. I am not able to include other options)
Clear selection
Team member #3 emergency contact phone number
Your answer
Team member #3 age
Your answer
Team member #3 home mailing address
Your answer
Team member #3 home phone
Your answer
Team member #3 email address
Your answer
A copy of your responses will be emailed to the address you provided.