The Women NetRace Official Entry Form... Survey

With the staging of the 29th Annual Women Race you can show how much The Women's Coalition of St. Croix has meant to you over the years and how much you believe in what The Women's Coalition of St. Croix is doing now by running or walking 2 miles in The Women NetRace...

No matter where you are:

1] you do your 2 miles there.

2] you submit your time, the day you completed your 2 miles...

3] you make your contribution of $15.00 to The Women's Coalition of St. Croix and tell us a little about yourself and that's it.

4] your results will be entered with everybody who participates and you will be ranked according in the finish and receive your special The Women NetRace Certificate!

Question Title

Please tell us who you are...

Last Name: First Name:

Current Affiliation:

Address 1:

Address 2:

City/Town:

State/Province:

ZIP/Postal Code:

Country:

Email Address:

Phone:

Question Title

This is the category that I should be identified with:

(F: 8 & under)

(F: 9-13)

(F: 14-17)

(F: 18-19)

(F: 20-29)

(F: 30-39)

(F: 40-49)

(F: 50-59)

(F: 60-69)

(F: 70-79)

(F: 80+)

Question Title

I would also like to do my Women NetRace in memory of:

Thank you for registering for The Women NetRace...
When you click done you will be directed to the Womens Coalition website where you can make your $15.00 Registration/Donation...
When you complete your 2miles logon to: http://wcstx.org or http://virginislandspace.org and click on: "Here's My Time!" and tell everybody your time and when and where you did it...
The results for The Women NetRace will be posted...