By completing and submitting this application, you have identified as a registered member of PNAVA and have agreed to participate in an 8-week challenge. This weekly challenge may require transportation to various Tidewater locations, walking, and the use of a camera device. The weekly tasks may be completed individually or as a group activity. Points will be awarded for each weekly task completed.

DISCLAIMER: PNAVA will not be held responsible for any injuries incurred during and related to the 8-week Amazing Race Challenge. Participation in each activity is strictly voluntary.
First & Last Name
Cell Number
Email Address
Mailing Address (Street, City, Zip Code) *to mail participation bracelet *
How do you prefer to be contacted?
How long have you been a member of PNAVA?
Clear selection
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy