Use this form to make corrections to a team registration.
This form and all NEW team members individual entries (with payment)
should be submitted together.
Required Information
Team Name
Team Category
Co-ed OPEN
Co-ed MASTERS
Team Captain
Work Phone
Eve.Phone
E-mail
Indicate Changes Below
Captain's Address
City
State
Zip
Team
Member Changes
To ADD a team member, select ADD and provide runner information.
To DELETE a team member, select DELETE and provide runner
information.
To REPLACE a team member, enter one DELETE line and one ADD line.
To CORRECT name, age,
or gender, select CHANGE and enter ALL information.
Important, Always
include runner's name - even for deletes and changes. if you do not do
this, your team's results may not
be correctly computed, possibly disqualifying your team.
Add
Delete
Last Name
First Name
Age
Sex
Remarks:
Amounts Enclosed:
Team Change Fee
(Free before raceday; $10 on raceday)
Entry Fee for
runners
Attach entry forms
Total Enclosed:
Payment Method:
Credit card information:
Credit card
Cardholder Name
Card Number
Expiration date
Please fill in this form and print it.
Mail or fax it (301-972-4993
), including your payment, to the Team Coordinator.