10,000 Meter Climb Challenge Registration Form

Hosted By:

The Canada StairClimbing Association

Stair Climber Information

* Name

* Address

* City

* Province

* Postal Code

* Phone

* Email Address

* Age

* Gender

Male

Female

* T-Shirt Size

* Please choose the Tier that you would like to race in. Please review out "Tier System" if you are not sure!

* Why would you like to compete with us?

* Have you completed a stair race before?

* Please Tel Us Who You Would like to Thank If you Place Top 3 Overall!

* Please Choose Total Payment For Race.

Race Fee - 30.00

T-Shirts - 40.00 (optional)

Memberships - 40.00/year (Optional)

Race Fee

T-shirts

Memberships

* Indicates Response Required