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12 Hour Relay Registration
Registration Fee Note

Registration can be paid in full, or someone can donate your fee by clicking the "Donate To A Team" button on the previous page. Please fill out the following information even if your fee will be donated.

Contact Information

First Name
Last Name


Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country

Important Payment Notice

NOTE: This button will take you to PayPal, however, you DO NOT need a PayPal account. After selecting the yellow Paypal checkout button, you can then enter your credit card information.