Registration-Canal Crawl August 18, 2018 Canal Crawl RegistrationRegistration and Waiver Instructions The registration form and a signed waiver must be submitted to participate. Thank you! If you are entering and registering as a single participant, fill out the registration form and pay the $25.00 registration fee by July 15th to receive a t-shirt in your size. You can pay in full to include the required $50.00 contribution at this time or at check-in. You must sign the waiver, and submit your contribution prior to the event or at check-in. If you are entering and registering as a Team of Four, enter each member name in the registration form and pay the $100.00 registration fee in advance to receive t-shirts in your sizes. You can pay in full ($250.00) including the required $150.00 contribution. Each team member must also sign a waiver and submit it prior to the event or at check-in. Enter names and t-shirt sizes in spaces provided as Team Captain and Team Members. You can also register and pay in full as a couple by choosing Team Size - 2 persons but there is no discount. If you register a couple or a Team of 4 the Team Captain will be contacted via email asking you to respond with all team members email addresses for our records so we can email them with details and rules prior to the event. Remember you are encouraged to raise your contributions through pledges. This is a fundraising event. The participant who raises the most will win a prize. Name * T-Shirt Size *(S M L XL XXL) Team Size *One Person2 Persons4 Persons Team Captain Name/ T-Shirt Size *(S M L XL XXL) Team Member #2 Name/T-Shirt Size *(S M L XL XXL) Team Member #3 Name/T-Shirt Size *(S M L XL XXL) Team Member #4 Name/ T-Shirt Size *(S M L XL XXL) Type of Craft(s) * Need a Rental YesNo Address *Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepaNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweCountry Phone * Email * Date of Birth * Emergency Contact *Person and Phone Number Payment Options Pay $25 Registration Fee for IndividualPay in Full - $50 Full Payment for StudentPay in Full - $75 Full Payment for IndividualPay in Full - $150 Full Payment for CouplePay $100 Registration Fee for Team of 4Pay in Full - $250 Full Payment for Team of 4 VerificationPlease enter any two digitsExample: 12This box is for spam protection - please leave it blank