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OLD Champion Application
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* Indicates required question
Email
*
Your email
Full Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Address
*
Your answer
Email
*
Your answer
Phone Number
*
Your answer
Race / Event you're interested in participating in
*
Your answer
Link to event
*
Your answer
Date
*
MM
/
DD
/
YYYY
Location
*
Your answer
Type of Event
*
Your answer
Financial / Admin Support required? If so, what and how much?
*
Your answer
Fundraising Goal $$
*
Your answer
What is your athletic background?
*
Your answer
List your past athletic achievements:
*
Your answer
Do you have access to training equipment?
*
Yes
No
Have you compete in an event like this before?
*
Yes
No
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