Texins Heptathlon 2019

Question Title

* 1. First Name:

Question Title

* 2. Last Name:

Question Title

* 3. Email:

Question Title

* 4. List your AID/XID. If you are not an employee, list N/A.

Question Title

* 5. Are you currently a Texins Member?

Yes

Question Title

* 6. Are you registering as a team or an individual?

Please list your team name and team members name.

Question Title

* 7. Registration fee is $25.00 per person; this will include a tank top and $10 food voucher to Soulgood Food Truck (Vegetarian & Vegan options available.) TI employees may pay registration fee through payroll deduction. If you are not a TI employee, you can pay registration fee at Texins membership desk with a credit or debit card. If registered after July 19 you will receive a Texins shirt.

Yes - $25 Individual Payroll Deduction (option for TI employees). By selecting this option you are authorizing Texins to proceed with the $25 payroll deduction charge

Yes - $25 Individual Credit Card (must pay within one week of registering at the Texins front desk or over the phone 214.567.3777 to reserve your spot

Question Title

* 8. Please list your shirt Size: Women's (Dri-fit Racerback Tank) or Men's (Dri-fit Sleeveless Tank). *Dri-fit shirts usually fit tighter than a normal t-shirt. Participants that register after July 19 will receive a Texins T-shirt.

Size

Question Title

* 9. Please select your preferred start times in order. (Top Choice- Last choice)

6:00 AM

12 PM (NOON)

6 PM