Udder Mudd'r/ Lil Piggy Plunge Registration Form
Saturday, August 17, 2024 | 8638 Heritage Drive, Marshfield WI 54449
Participant 1
Multiple entries can be entered by choosing "Next". Once completed, select the "Submit" button to e directed to the payment page.
Choose Event
*
Udder Mudd'r (Ages 8+)
Lil' Piggy Plunge (Ages 3-9)
Name
*
First Name
Last Name
Age
*
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
T-Shirt Size
*
Please Select
Child Small
Child Medium
Child Large
Child Extra Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
Adult 3XL
Adult 4XL
No T-shirt
Udder Mudd'r: Start Wave Time - Choose Top 2 Preferences (We will try our best to assign the closest start wave possible)
*
Lil Piggy Plunge (1:30 PM)
Pick One For Me - Anytime Works!
10:00 AM
10:15 AM
10:30 AM
10:45 AM
11:00 AM
11:15 AM
11:30 AM
11:45 AM
12:00 PM
12:15 PM
12:30 PM
12:45 PM
1:00 PM
1:15 PM
Team Name (if applicable)
Do you have additional participants to add?
Yes (Select Next)
No (Select Next)
Back
Next
Save
Participant 2
Choose Event
*
Udder Mudd'r (Ages 8+)
Lil' Piggy Plunge (Ages 3-9)
Name
*
First Name
Last Name
Age
*
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
T-Shirt Size
*
Please Select
Child Small
Child Medium
Child Large
Child Extra Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
Adult 3XL
Adult 4XL
No T-shirt
Udder Mudd'r: Start Wave Time - Choose Top 2 Preferences (We will try our best to assign the closest start wave possible)
*
Lil Piggy Plunge (1:30 PM)
Pick One For Me - Anytime Works!
10:00 AM
10:15 AM
10:30 AM
10:45 AM
11:00 AM
11:15 AM
11:30 AM
11:45 AM
12:00 PM
12:15 PM
12:30 PM
12:45 PM
1:00 PM
1:15 PM
Team Name (if applicable)
Do you have additional participants to add?
Yes (Select Next)
No (Select Next)
Back
Next
Save
Participant 3
Choose Event
*
Udder Mudd'r (Ages 8+)
Lil' Piggy Plunge (Ages 3-9)
Name
*
First Name
Last Name
Age
*
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
T-Shirt Size
*
Please Select
Child Small
Child Medium
Child Large
Child Extra Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
Adult 3XL
Adult 4XL
No T-shirt
Udder Mudd'r: Start Wave Time - Choose Top 2 Preferences (We will try our best to assign the closest start wave possible)
*
Lil Piggy Plunge (1:30 PM)
Pick One For Me - Anytime Works!
10:00 AM
10:15 AM
10:30 AM
10:45 AM
11:00 AM
11:15 AM
11:30 AM
11:45 AM
12:00 PM
12:15 PM
12:30 PM
12:45 PM
1:00 PM
1:15 PM
Team Name (if applicable)
Do you have additional participants to add?
Yes (Select Next)
No (Select Next)
Back
Next
Save
Participant 4
Choose Event
*
Udder Mudd'r (Ages 8+)
Lil' Piggy Plunge (Ages 3-9)
Name
*
First Name
Last Name
Age
*
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
T-Shirt Size
*
Please Select
Child Small
Child Medium
Child Large
Child Extra Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
Adult 3XL
Adult 4XL
No T-shirt
Udder Mudd'r: Start Wave Time - Choose Top 2 Preferences (We will try our best to assign the closest start wave possible)
*
Lil Piggy Plunge (1:30 PM)
Pick One For Me - Anytime Works!
10:00 AM
10:15 AM
10:30 AM
10:45 AM
11:00 AM
11:15 AM
11:30 AM
11:45 AM
12:00 PM
12:15 PM
12:30 PM
12:45 PM
1:00 PM
1:15 PM
Team Name (if applicable)
Do you have additional participants to add?
Yes (Select Next)
No (Select Next)
Back
Next
Save
Participant 5
Choose Event
*
Udder Mudd'r (Ages 8+)
Lil' Piggy Plunge (Ages 3-9)
Name
*
First Name
Last Name
Age
*
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
T-Shirt Size
*
Please Select
Child Small
Child Medium
Child Large
Child Extra Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
Adult 3XL
Adult 4XL
No T-shirt
Udder Mudd'r: Start Wave Time - Choose Top 2 Preferences (We will try our best to assign the closest start wave possible)
*
Lil Piggy Plunge (1:30 PM)
Pick One For Me - Anytime Works!
10:00 AM
10:15 AM
10:30 AM
10:45 AM
11:00 AM
11:15 AM
11:30 AM
11:45 AM
12:00 PM
12:15 PM
12:30 PM
12:45 PM
1:00 PM
1:15 PM
Team Name (if applicable)
Back
Next
Save
Emergency Contact Information
Emergency Contact Person
First Name
Last Name
Emergency Person Phone Number
-
Area Code
Phone Number
Relationship to Emergency Contact Person
Waiver
Waivers must be signed to participate.
Please review the event Release/Waiver
Parent/Guardian Signature. By Signing, I have reviewed and agree to the above Release and Waiver.
Date Signed
-
Month
-
Day
Year
Date
REMINDER: Save now! Early bird pricing until 5/31/24: Use promo code SAVE20 for Big Mudd'rs (ages 16+)
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