DPR Award Acceptance Form
If you won an award and did not claim your award at the race on October 14, 2023 and you would like to receive your award, please submit the information below along with a $15 PayPal payment sent to info@runners4wellness.com.

DEADLINE TO CLAIM AWARD: October 29, 2023

We will mail the awards shortly after this date.

****PLEASE REVIEW BEFORE SUBMITTING FORM****:
We will only send awards to those who are Top 3 Overall (M/F) and 1st PLACE WINNERS of each of the following age groups for both M/F (Under 20, 20-29, 30-39, 40-49, 50-59, 60-69, 70-79, 80 and Over)

For Non-Binary category, we will only send awards to the 1st place overall winners in each race category  

**PLEASE MAKE SURE YOU QUALIFY FOR AN AWARD BEFORE SENDING PAYMENT

Sign in to Google to save your progress. Learn more
Name *
Gender *
Email *
If we have questions we will need a valid email to contact you.
Mailing Address 1 *
We will need the mailing address to ship the award to, so please provide this.
Mailing Address 2
We will need the mailing address to ship the award to, so please provide this.
City *
We will need the mailing address to ship the award to, so please provide this.
State *
We will need the mailing address to ship the award to, so please provide this.
Zip *
We will need the mailing address to ship the award to, so please provide this.
Event *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms