NC LETR Agency Relay Form
We are thrilled to have your department participate in this year's NC LETR Relay! Your providing detailed information about the relay will allow us to support and promote your efforts. As you are planning your relay, please note: All runners must wear the LETR T-shirt for this current year's relay. If you have a photographer for your relay, please forward all pictures to nctorchrun@sonc.net
Coordinator name
*
First Name
Last Name
Coordinator Email
*
example@example.com
Coordinator Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Agency or Department Affiliation
*
Please use full name. If DAC, please specify facility.
County of Agency
*
If additional agencies are participating in your relay, please list them here.
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Relay Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reporting Time
*
Hour Minutes
AM
PM
AM/PM Option
Relay Start Time
*
Hour Minutes
AM
PM
AM/PM Option
Relay End Time
*
Hour Minutes
AM
PM
AM/PM Option
Total Miles of Relay
*
Relay Beginning Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Relay Ending Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please provide details regarding the route of the relay
*
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Does your agency need NC LETR to send a torch for your relay?
*
Yes
No, we have our own torch
No, we are receiving a torch from another agency
Name of the agency from whom you are receiving the torch
*
Is your agency planning on passing the torch to another agency?
*
Yes
No
Name of agency to whom you are passing the torch
*
Does your agency need NC LETR to send a banner for your relay?
*
Yes
No, we have one
Date torch and/or banner is needed
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Shipping Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Submit
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