Tough Mudder Tri-State Wait List

1. Complete this form to be added to the wait list.

*
1. Full Name:

Full Name: First:
Last:

*
2. Contact Information:

Contact Information: Email Address:
Phone Number:

*
3. Please add me to the wait list for:

Please add me to the wait list for: Saturday, November 12

Sunday, November 13

Either day, I just want to participate !

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4. The entry fee if selected from the wait list is $200. Are you willing to pay this?

The entry fee if selected from the wait list is $200. Are you willing to pay this? Yes - I commit to pay Tough Mudder LLC $200 if selected from the wait list

No - Please do not place me on the wait list after all, I don't want to commit to pay $100

5. Is there any other information about you that you think we should know when allocating places from the wait list?

Is there any other information about you that you think we should know when allocating places from the wait list?

Tough Mudder Tri-State Wait List

1. Complete this form to be added to the wait list.

*1. Full Name:

*2. Contact Information:

*3. Please add me to the wait list for:

*4. The entry fee if selected from the wait list is $200. Are you willing to pay this?

5. Is there any other information about you that you think we should know when allocating places from the wait list?

*
1. Full Name:

*
2. Contact Information:

*
3. Please add me to the wait list for:

*
4. The entry fee if selected from the wait list is $200. Are you willing to pay this?