St. Clare Health Mission 1/2 Marathon and 5K Run Team Registration Form

 This form can be completed and printed on line

All Team members must be listed on this form along with individual entry forms and payment for each member and the team captain.  The entire packet must be received at the Mission 916 Ferry St.  La Crosse by 04/25/2008.  No changes or additions can be made to teams after the deadline date

A confirmation will be sent to the Team Leader - this confirmation will ensure your entry as a team. 

Team Name:    Team Captain: 

Phone Number:      Street: : 

City:    State:    Zip: 

List Team Member  including the Captain and check the appropriate event.   Note at least 1 participant must participate in the 1/2 and 2 participants must participate in the 5K.  There is a maximum of 10 participants per team.  

  Name:     1/2  5K 

  Name:     1/2  5K

  Name:      1/2  5K

  Name:      1/2  5K 

  Name:       1/2  5K

  Name:     1/2  5K 

  Name:     1/2  5K 

  Name:     1/2  5K 

  Name:     1/2  5K 

  Name:     1/2  5K