2022 Eastern Trek for Cancer - Registration Form

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The ETC 2022 is a seven day relay run in New England, raising awareness and support for those affected by cancer. Please, complete the registration form fully.

*Please note, since 2015 the ETC has started in Portland, ME and ended in New York City. With input from past teams and the current state of the COVID-19 pandemic (as of 8.30.21), we are seeking input from applicants on their preferred routes as the 2022 team is formed.

Your First & Last Name *

Your Email *

Your Phone Number *

Your Home Town & State *

Your Current Town & State *

If Applies, What College/University Are You Attending/A Graduate Of (please note if graduated)

Your Gender *

Male

Female

Other:

Your Birth Date *

YYYY

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