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Wellness Expedition Registration Form

Wellness Expedition Competitor Registration Information

Complete all (*) fields & send. You will be redirected to finalize registration and for payment.

Select Stage Walk

SwimwearAthletic WearEvening Wear

Level

RecreationalCompetitive

Competitor Complimentary T-Shirt

Select Division: (Male/ Female/LGBTQ)

Select AgeMust be of age by date of competition. *13-18 Parental Consent Required.

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Entered in Team Challenge?Groups with 2 or more may enter for Team Challenge Award. *Additional entry fee of $10/per person applies.

Email Address *

Phone Number *

First Name *

Last Name *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country

How did you hear about us?Social MediaSearch EngineFamily or FriendOther

Checkbox *

Prior to my purchase I have read and agree to all Rules/Guidelines, Covid 19 Policies, Terms and Conditions. Purchase is final, non-refundable, non-transferable.

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Upcoming Event

Wellness Expedition & Journey to Fit Competition - White Plains, NYOctober 22, 2022

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