Amazing Race Registration
Saturday July 26, 2025 | 12-4pm | Halifax Waterfront (Start at The Wave) $20 for teams of 3-5 people (the number can be larger if parents or support people are present)
Team Name
*
Team Member #1
*
First Name
Last Name
Team Member #2
*
First Name
Last Name
Team Member #3
*
First Name
Last Name
Team Member #4
First Name
Last Name
Team Member #5
First Name
Last Name
Does your team have more than 5 people to include parents and/or support staff? If yes, how many EXTRA people are on your team
Primary Contact Email
*
example@example.com
Primary Contact Cell Number
*
Please enter a valid phone number.
Are any of your team members under the age of 18?
*
Yes
No
Which of the following best describes your team? (Select All That Apply)
*
Community member with a disability
Community member without a disability
Healthcare professional
Healthcare student
Caregiver/Support Person
There is a $20 registration fee. Please E-transfer the full amount to DisabledNotDeadSocietyHRM@gmail.com (password: amazingrace) Add your team name to the notes.
*
Sent
Sent with password
Sent with additional $$$ to support the fundraiser
Submit
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