Greenway Challenge | Whitinsville, MA

Price Schedule

	thru 09/05/2019	thru 09/20/2019
Individual (solo) Participant	$120	$150
2-4 Person Team	$200	$225
5+ Person Team	$275	$300

Categories*

Individual (solo) Participant - $120.00

Individual Participant is allowed (1) Support Team Member that MUST register below

2-4 Person Team - $200.00

All Team Members must participate in at least one course segment

5+ Person Team - $275.00

Maximum of 8 Team Members; All Team Members must participate in at least one course segment

Additional Team Member

All Team Members must participate in at least one course segment or be a team captain

Support Team Member

Support role only for Individual (solo) Participants

Donation Only

Participant Information

Team Selection

Team*

Team Secret Code

Setup Team Information

Team Name *

Team Secret Code *

We will send you an email with instructions and a link to register.
You can forward this email to the members of your team.

Email *

Participant First Name *

Participant Last Name *

Participant Birthdate *

Participant Gender *

Male

Female

Country Address *

Street Address *

City *

State *

Zip Code *

Phone *

Emergency Contact Name *

Emergency Phone *

Affiliated Club, Company or Organization add new team

select or enter a team name

Team Division *

Individual Participants must choose either Male or Female Division

Co-Ed

Female

Male

Corporate (5+ Teams only)

Liability Waiver

I have read and agreed to the waiver*

Are you 18 or older?*

18 or older Under 18

Photo Release

I have read and agreed to the waiver*

Are you 18 or older?*

18 or older Under 18

Free Event Shirt

Shirts are available whiles sizes last - first come first serve! Guaranteed if registered by 9/5

Woman S

Women M

Women L

Women XL

Men S

Men M

Men L

Men XL

Men 2XL

Make a Donation

Whitin Community Center

Donation $
(learn more about this cause)

The Whitin Community Center is a 501(c)(3) non-profit organization serving the people of the Blackstone Valley with health and fitness programs, child care, and youth outreach programs.

Payment Summary

Discount, Tracking, or Charity Code

Apply

Price

Discount

$ (-)

Donation

Total
no handling

Handling

Total

Payment Information

Visa/Mastercard

Pay By Check

Cardholder First Name

Cardholder Last Name

Cardholder Address

Cardholder Country

City, State, Zipcode

Credit Card #

Exp. Date /

CVV Code

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