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Attract. Interact. Retain. Engage. - Providing young professionals social networking, professional development, and community outreach opportunities

500 Franklin St
Columbus IN 47201
812.379.4457
812.378.7308 fax

 


It’s not how far you go, it’s what happens along the way….

 

To register for the race you must be a young professional between the ages of 21 to 39 and living or working in Bartholomew County and compete on a team with one to three other people.  If you do not have a team put together and would like help in finding team members please email us. 

 

Please fill out the registration form below in its entirety.  If you have any questions email info@columbusyp.org

 

CYP Amazing Race Registration (page 1 of 2)
Team Captain:
Name:    
Address: 
City:           State:      Zip Code: 
Phone:      (000) 000-0000
Email Address: 
Employer:       
Birthdate:        (00/00/0000)

Team Member 2:
Name:    
Address: 
City:           State:      Zip Code: 
Phone:      (000) 000-0000
Email Address: 
Employer:       
Birthdate:        (00/00/0000)

Team Member 3:
Name:    
Address: 
City:           State:      Zip Code: 
Phone:      (000) 000-0000
Email Address: 
Employer:       
Birthdate:        (00/00/0000)

Team Member 4:
Name:    
Address: 
City:           State:      Zip Code: 
Phone:      (000) 000-0000
Email Address: 
Employer:       
Birthdate:        (00/00/0000)

Team Name: 
Please give a brief description or your team such as how you know one another, where you work, or any interesting information.  This will be placed in race materials about the participating teams.

  By clicking here, I state that all of the people listed above have read and agreed to the rules of the Amazing Race.  Failure to do so will result in elimination from the competition.

(page 1 of 2)