About Us

Please fill out the form below to join Team Believe. A $145 donation is payable through PayPal after completing the form. Thanks for joining!

First Name: MI: Last Name:

Gender: |   Email: Phone number:

Address: City:
State: ZIP:

Emergency contact: Phone number:

Date of birth:

Goal race: |

Shirt size: | | | |

Shirt style:

I know that running/walking is a potentially hazardous activity. I attest and verify that I am medically able and physically fit to participate in this program. In consideration of your accepting this entry, I the undersigned intending to be legally bound, hereby for myself, executors and administrators, waive and release any and all claims I may have against Team Believe, Inc., its members and volunteers, the City of Syracuse, their representatives, successors and assigns for any and all injuries suffered by me during participation in this program. I hereby grant permission to Team Believe, Inc., and any other sponsors of this program to use all information submitted in this entry, and any record containing my likeness, as well as race results including my name and competition time, for any purpose whatsoever. Minors not accepted.

I accept:

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