Each Mickey’s Team Challenge team captain should complete this form. No team will be recognized without the completion of this form. Captains will receive an email confirmation when their team is officially recognized.
Please complete all boxes below. Your information will NOT be shared with any other person/party/organization.
Where
Run4Downtown 17 North Street Middletown, NY 10940 ph: 845-401-9108 fax: 845-343-2211