Team Registration
Expedition BVI requires the full name and contact information of your team captain for successful registration. We request the names and contact information of the other teammates but do not require this information at this time. The remaining information can be collected at a later date.
 
Team Name:
 

Captain's Information:
First Name: MI:
Last Name:
Address:
City:
State/Province: Zip:
Country: Sex:
Date of Birth (mm/dd/yyyy)
Email:
Home Phone:
Work Phone:
Shirt Size:
 

Payment Information: $500.00 Non-Refundable Deposit
 

Second Team Member's Information: (Optional)
First Name: MI:
Last Name:
Address:
City:
State/Province: Zip:
Country: Sex:
Date of Birth (mm/dd/yyyy)
Email:
Home Phone:
Work Phone:
Shirt Size:
 

Third Team Member's Information: (Optional)
First Name: MI:
Last Name:
Address:
City:
State/Province: Zip:
Country: Sex:
Date of Birth (mm/dd/yyyy)
Email:
Home Phone:
Work Phone:
Shirt Size:
 

Fourth Team Member's Information: (Optional)
First Name: MI:
Last Name:
Address:
City:
State/Province: Zip:
Country: Sex:
Date of Birth (mm/dd/yyyy)
Email:
Home Phone:
Work Phone:
Shirt Size:
 
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Race Hotline - (757) 425-5404
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