2021 Beer Cheese Waddle Sign Up Form

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Location: Cerise Park, Shanes Way, Montrose, CO 81403
Date & Time: October 9, 2021, 9am
Contact: Blackcanyonrotary@gmail.com

Email *

Which are you signing up for? *

5k Fun Run/Walk ($25)

10k Race ($25)

Sponsor (see levels/amounts in next question)

If signing up to be a sponsor, please choose your sponsorship level:

$100 (includes 4 race entries & small logo on race banners)

$500 (includes 12 race entries & medium logo on race banners)

$1,000 (includes 20 race entries & large logo on race banners, and day of announcements at Start/Finish

$2,000 (includes 30 race entries & large logo on race banners, logo on marketing/swag and day of announcements at Start/Finish

Other? Let's Chat! For more information regarding Sponsorships, please contact Dan Soderlind (970-615-0918) or Bryant Hunter (970-497-0100).

First Name *

Last Name *

Mailing Address *

Phone Number *

If a sponsor, please list the names of your sponsored Walkers or Runners here (and indicate whether they will be doing the 5k or 10k):

How would you like to pay for your Race Registration or Sponsorship? *

By Check and mail it to Black Canyon Rotary Club Attn: Beer Cheese Waddle, PO Box 563, Montrose, CO 81402. Please make check payable to Rotary Club of Montrose Black Canyon

By Cash or Check on the day of the event, at the event.

By Venmo and pay online (Use this Venmo handle: @BlackCanyonRotary)

Other:

How did you hear about this event? *

Website

Rotarian

Newsletter

Other:

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