Vermont Corporate Cup Challenge and State Agency Race, Presented by Union Mutual

Individual or Single Team Registration

Employer Information

Employer Name

Type

Street Address

City

State

ZIP Code

Team Information

Team Type

Team Name (Max. 20 Character)

First Name

Last Name

Reminders

Please be sure to make all changes including any substitutes prior to the following dates:
In-person: May 13, 2024 @ 11:59 PM.
Virtual: May 31, 2024 @ 11:59 PM.
No changes will be made after each of these dates.
Each team member MUST sign the Release of Liability Form.
All members on a team must be all walkers or runners not combined.
Registration Fee: $34.00 per person (without t-shirt), $42.00 per person (with t-shirt - In-Person), $52.00 per person (with t-shirt - Virtual, includes shipping/handling charges).
No Refunds.

Proceeds from this event benefits the programs and events of the Vermont Governor's Council on Physical Fitness and Sports, including: Vermont Senior Games; Community Wellness Grants; Worksite Wellness Awards & Conference; Parks Rx; Fit and Healthy Kids and the annual Vermont Corporate Cup Challenge and State Agency Race.

Individual or Single Team Registration

Employer Information

Team Information

Reminders

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