2019 Lighthouse Run TEAM Sign-Up Form

Teams will have the option of displaying their logo or team name on the back of the event t-shirts. You may upload a logo or simply provide the text you would like imprinted. Deadline for custom tee imprints is May 15. LOGO designs must be a single color.

We will provide the Team Captain a copy of the Team Roster prior to packet pick up. You may also view your team members online. Once your packets are ready for pickup we will contact you. Teams that sign up BEFORE June 1 can have their packets delivered directly to the team captain (Local Delivery only).

Organization Name *

Team Name *

Team Captain Name *

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Day Phone Number *

- Area Code Phone Number

Cell Phone Number

- Area Code Phone Number

Captain's Email *

example@example.com

We would like our team printed on the back of the tees as a:

LOGO design (Attach below) TEXT Only (Enter Below)

IMPRINT TO READ

OPTIONAL if no logo is provided

Team LOGO or Design if known. Prefer formats such as .PDF or .AI

Browse Files

FREE Lighthouse Run Team Captain Gift!

If you recruit 20 or more members for your team, LHR is providing you an appreciation gift. Please select your embroidered LHR item size here:

Apparel Size

Small Medium Large XL 2XL 3XL

DIVISION

Team Divisions:

Anyone is eligible to form a team.
4 Mile Teams: Must include at least six (6) members
10 Mile Teams: Must include at least four (4) members
PLEASE NOTE: Members must cross the finish line to place in the team standings. Runners must have their race number worn on their chest and the timing chips applied to both shoes to be timed.

You may enter a team in one of the three divisions.:

COMPETITIVE CORPORATE – All Team members must be an employee receiving a W2 form from that particular business/corporation. (4 or 10 miles Competitive)

COMPETITIVE OPEN – All others (4 or 10 miles Competitive)

NON-COMPETITIVE – 2 or 4 Fun Run/Walk

SELECT Division *

TEAM FEE:

The team fee covers our cost to set up the team in our system, administration, artwork and additional fees for screen printing the t-shirts.

1- 25 Members...	$50.00
26-50 Members...	$70.00
51-100 Members...	$90.00
100+ Members...	$100.00

Payments may be sent via regular mail or online.
Online payments are subject to a technology/lost revenue fee.

If sending by mail - Send to:

Racine YMCA
ATTN: Lighthouse Run Team Registration
8501 Campus Drive
Mount Pleasant, WI 53406

Total # of participants on your team: *

5Kevents.org will send an invoice to the team captain based on the number of entries indicated on this form. Once the invoice is paid, you will receive discount code that will allow your teammates to sign up for free. If you need additional codes, please notify us and will will increase it. Teams must signup no later than June 1st. Alternatively - You can also request that your team members pay individually so you do not need to collect proceeds from each person. Should you choose this option, your participants will select the team from the drop box on the online entry form during the registration process.

How would you like to pay for your team entries? *

Invoice us based on entries Let individuals pay online during signup

Our Company is participating in the Racine Family Corporate Cup Challenge. *

YES NO

Would you like someone to contact you with more information?

YES NO

Comments

TEAM ENTRY

TEAM FEES (Includes lost revenue fee) $ 50.00

# of participants

Total $ 0.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country