Team Name *
Division: All Students *
-- select an option --
Yes
No
Division: All Employees *
-- select an option --
Yes
No
Division: Employee/Student *
-- select an option --
Yes
No
Division: Messiah College Community Members (retired, spouses, alumni) *
-- select an option --
Yes
No
Gender: All Male *
-- select an option --
Yes
No
Gender: All Female *
-- select an option --
Yes
No
Gender: Mixed *
-- select an option --
Yes
No
Swimmer Name *
Swimmer Age *
Swimmer Gender *
-- select an option --
Male
Female
Swimmer: Employee *
-- select an option --
Yes
No
Swimmer: Student *
-- select an option --
Yes
No
Swimmer: Greater MC Community Member *
-- select an option --
Yes
No
Estimated half mile (800 yd) swim time *
Biker Name *
Biker Age *
Biker Gender *
-- select an option --
Male
Female
Biker: Employee *
-- select an option --
Yes
No
Biker: Student *
-- select an option --
Yes
No
Biker: Greater MC Community Member *
-- select an option --
Yes
No
Runner Name *
Runner Age *
Runner Gender *
-- select an option --
Male
Female
Runner: Employee *
-- select an option --
Yes
No
Runner: Student *
-- select an option --
Yes
No
Runner: Greater MC Community Member *
-- select an option --
Yes
No
Number of Small T-Shirts Needed: *
-- select an option --
1
2
3
4
5
Number of Medium T-Shirts Needed: *
-- select an option --
1
2
3
4
5
Number of Large T-Shirts Needed *
-- select an option --
1
2
3
4
5
Number of XL T-Shirts Needed: *
-- select an option --
1
2
3
4
5
Number of XXL T-Shirts Needed: *
-- select an option --
1
2
3
4
5
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