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Break the Chain Team Athlete Form

Fill out this form if you are declaring your race for BREAK THE CHAINS.

After you fill out this form the next page will direct you to where you can donate as an athlete. For a minimum pledge/donation of $50.00 you will receive a Break the Chains race shirt. Shirts are not yet available but you will be emailed after the shirts come in. Thanks for making a difference!

Step 1: Register 

From (Your email)
Subject
Athlete's Name
Address
City
State/Prov
Zip Code
Name of the race
Location of race
Date/length of race
If you know your confirmation ID number type it here
Is this your first race as a Break the Chains Team Member? Yes   No
Do you give us permission to list your name so others can sponsor your race? Yes   No




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Copyright © September 5, 2008 The Evangelical Covenant Church. 5101 N Francisco Ave., Chicago IL 60625. 773-784-3000

Click here to register.