Team Adoption Application

Adult Donation $20
Youth Donation $10
Children 2 and Younger Free

City: State: Zip Code:
Home Phone: Alternate Phone:
Emergency Contact Phone #:
Email Address:
How did you hear about us?
How many races do you participate in per year?
Have you previously been a member of Team Adoption?
Length of Race:
Date of Race: Are you registered for the race?
Will you walk or run this race?
Are you the team captain of your local Team Adoption?
If so, how may members are on your team?
Shirt Size: