2025 Eagle Endurance Team Challenge Entry Form

2025 Eagle Endurance Team Challenge

The Eagle Endurance Team Challenge will be Saturday, Sept. 20th, 2025 at Koinonia Farms Camp in Laurelville, OH. This race is a grueling track of terrain spanning 4.6 miles and offering 20+ obstacles. Racers can run as 5-person teams, individuals, or even simply walk the course. Heats begin at 9am and run until 12pm. Runners should arrive at least by 8:30am to check in. All obstacles are optional. Please fill out the following form carefully.
You may pay the entry fee below via PayPal/Credit card, or you may bring a check or cash to the event. If paying by check, please make checks payable to Koinonia Farms Camp.
Name of person filling out form (If different than runner's name)

First NameLast Name
Relation to runner (if applicable)
Full name of person running*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Gender
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
example@example.com
Phone/Mobile Number*
Format: (000) 000-0000.
Emergency Contact*

NamePhone
Team name (if applicable). Teams must consist of five people.
YesNo
How did you hear about the EEC?*
Ex: Facebook, local gym, etc.
I confirm that I am in good shape, health, and condition.I don't have any medical conditions or medical history that will affect my participation in this event.I will follow the rules and regulations of the event.I acknowledge that this race requires physical activity and there are possible risks and danger.I release the event organizers for any responsibility in case of an accident, illness, or injury.I agree to sign a full release the day of the event.I allow my photo to be taken during the event and used for event advertising and marketing.I confirm that all information in this registration form is accurate and true.
Participant's Signature*

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

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Date Signed*

MonthDayYear
Date
You may pay the entry fee + processing fee below via PayPal/Credit card, or you may bring a check for full payment to the event. If paying by check, please make checks payable to Koinonia Farms Camp. Please arrive by 8:30am to check in and pay if paying in person.
Do not check the boxes below if you are paying with cash or check on the day of the race. The boxes below are for paying with Credit/Debit or PayPal. If paying for more than one person, be sure to adjust the quantity boxes.
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Eagle Endurance Challenge - Individual online payment
Saturday, May 17th, 2025

$75.00 Quantity

Eagle Endurance Challenge - 5-person Team Challenge online payment
$60.00 Quantity

Total

$0.00
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