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Duck Derby
Annual CIS Dinner & Auction
Contact Us
Donate
Home
About Us
Who We are
Board of Directors
Staff
Tax Documents
PROGRAMS
PAT
School Sites
Get Involved
Partners
Sponsors
EVENTS
GraduRUN 2025
FAFSA Application Assistance
Reality U
Duck Derby
Annual CIS Dinner & Auction
Contact Us
Donate
TEAM REGISTRATION
Fill out the information for each participant in the form below to register!
Team Name
*
Team Leader / Participant #1
The team leader will receive information and updates regarding the event.
Name
*
First Name
Last Name
Age
*
Gender
*
Female
Male
Email Address
*
Phone Number
*
(###)
###
####
Event
*
1 Mile Walk
5K Run
Chip
Yes
No
T-Shirt Size
*
S
M
L
XL
XXL
Emergency Contact Information
*
Please include your Emergency Contact's Name and Phone Number.
Are you a staff member for Catoosa County Public Schools?
*
Yes
No
Participant #2
Fill out the following boxes for Participant #2
Name
*
First Name
Last Name
Event
*
1 Mile Walk
5K Run
T-Shirt Size
*
S
M
L
XL
XXL
Age
Gender
Female
Male
Emergency Contact Information
*
Please include your Emergency Contact's Name and Phone Number.
Are you staff member for Catoosa County Public Schools?
*
Yes
No
Participant #3
Fill out the following boxes for Participant #3
Name
First Name
Last Name
Event
1 mile Walk
5K Run
T-Shirt Size
S
M
L
XL
XXL
Age
Gender
Female
Male
Emergency Contact Information
*
Please include your Emergency Contact's Name and Phone Number.
Are you a staff member for Catoosa County Public Schools?
*
Yes
No
Participant #4
Fill out the following boxes for Participant #4
Name
First Name
Last Name
Event
1 Mile Walk
5K Run
T-Shirt Size
S
M
L
XL
XXL
Age
Gender
Female
Male
Emergency Contact Information
*
Please include your Emergency Contact's Name and Phone Number.
Are you a staff member for Catoosa County Public Schools?
*
Yes
No
Participant #5
Name
First Name
Last Name
Event
1 Mile Walk
5K Run
T-Shirt Size
S
M
L
XL
XXL
Age
Gender
Female
Male
Emergency Contact Information
*
Please include your emergency contact's name and phone number.
Are you a staff member for Catoosa County Public Schools?
*
Yes
No
Participant #6
Name
First Name
Last Name
Event
1 Mile Walk
5K Run
T-Shirt Size
S
M
L
XL
XXL
Age
Gender
Female
Male
Emergency Contact Information
*
Please include your Emergency Contact's Name and Phone Number.
Are you a staff member for Catoosa County Public Schools?
*
Yes
No
Participant #7
Name
First Name
Last Name
Event
1 Mile Walk
5K Run
T-Shirt Size
S
M
L
XL
XXL
Age
Gender
Female
Male
Emergency Contact Information
*
Please include your emergency contact's name and phone number.
Are you a staff member for Catoosa County Public Schools?
*
Yes
No
Participant #8
Name
First Name
Last Name
Event
1 Mile Walk
5K Run
T-Shirt Size
S
M
L
XL
XXL
Age
Gender
Female
Male
Emergency Contact Information
*
Please include your emergency contact's name and phone number.
Are you a staff member for Catoosa County Public Schools?
*
Yes
No
Participant #9
Name
First Name
Last Name
Event
1 Mile Walk
5K Run
T-Shirt Size
S
M
L
XL
XXL
Age
Gender
Female
Male
Emergency Contact Information
*
Please include your Emergency Contact's Name and Phone Number.
Are you a staff member for Catoosa County Public Schools?
*
Yes
No
Participant #10
Name
First Name
Last Name
Event
1 Mile Walk
5K Run
T-Shirt Size
S
M
L
XL
XXL
Age
Gender
Female
Male
Emergency Contact Information
*
Please include your emergency contact's name and phone number.
Are you a staff member for Catoosa County Public Schools?
*
Yes
No
Thank you!
