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Athlete
Buckshot Run

Register Online for the Buckshot Run

Step One: Personal Information > Step Two: Payment Information > Step Three: Manage your account

* Indicates required information

1. Create a Web page login
Username*
Password*
Retype Password*
2. Personal Information
First Name*
Last Name*
Address*
City*
State*
Zip*
E-mail Address*
Phone (day)*
Phone (night)
Gender*

T-Shirt Size *

Age*
(as of 08/30/2008)

If you are under 18 you must have a parent or guardian sign a paper entry form and mail it to:
Special Olympics Wisconsin, 2023 Fairfax St., Eau Claire, WI 54701 or turn it in the day of the race.
Click here to download a paper registration form.

Check here if you are a wheelchair participant

Buckshot Run Event(s)*

Event fees: Before August 23 - $15 or $25 for two people or one person doing two races. Second person must register online at the same time. If paid August 23-29-- $20; Day of Race -- $25.

Participants who register online can pay fees online and create their own Web pages to collect online pledges to reach their fund raising goal.

$ Fund Raising Goal (numbers only, no commas)

Raise $100 - embroidered polo shirt, Raise $200 - embroidered hooded sweatshirt

Fund Raising Web Page Message


 

Check here to sign up for the Special Olympics Wisconsin monthly email newsletter.

Required: Check here if you agree to the terms of registration*
I will enter this race at my own risk and waive and release any and all claims for damages I may have for any injuries suffered by me against Special Olympics Wisconsin, the Leader Telegram and the City of Eau Claire or any other sponsors, agents or employees. I agree to pay a charge of $50 if my timing chip is not returned by the end of the race. Entry not processed until payment received.

A confirmation e-mail with your username and password will be sent to the e-mail address provided above.