Paint The Town Pink

Paint The Town Pink

Run/Walk Corporate Sponsorship Sign Up Form
Race Date: October 26, 2024
Location: Hurricane/Dewey Bondurant State Park 21139 US-31, Flomaton, AL 36441
Start Time: 8:00 AM CST
Participant Information
Company Name*
Company EIN
Full Name

Full Name
Age
Date

MonthDayYear
Date
Gender
Email
example@example.com
Phone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Corporate Logo

Please upload a .jpg version of your company's logo
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T-Shirt Size*

XSSMLXLXXLOther
Please Type Other Shirt Size
Emergency Contact Details
Contact Person

First NameLast Name
Phone Number
Relationship
Payment Information
Method of Payment
Fees
prevnext( X )
Pink Diamond Sponsorship
$500.00



Pink Pearl Sponsorship
$350.00



Pink Rose Sponsorship
$250.00



Pink Ribbon Sponsorship
$100.00



Total

$0.00
Waiver & Release
Type a question

I acknowledge that this road race requires physical activity and there are possible risks and danger.I release the road race event organizers for any responsibility in case of an accident, illness, or injury.I confirm that all information in this registration form is accurate and true.
Participant's Signature

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Date Signed

MonthDayYear
Date
Parent/Guardian Signature (If participant is below 18 years old)

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Date

MonthDayYear
Date
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Participant Information