Women Build Registration

Women Build Fundraiser Registration

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Fields marked with an * are required

First Name

Last Name

Address

Phone

Participating as:

Group Name

Please list any allergies:

Please list any diet requirements:

Level of Experience: (Please note, that no experience is necessary!))

Do you own steel toe boots?

If no, size needed ?

Ladies T-Shirt Size

Date you would like to participate (July 23-28, July 31-Aug 2, Aug 13-18):

Receipt will be issued to participant above, or list alternative name/address below

Full Name

Address

Registration Fee: A minimum of $125 or more to be raised to participate.

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Monday-Friday 9:00am - 6:00pm

Saturday 9:00am - 5:00pm

Sunday 10:00am - 4:00pm