Register

Participants are encouraged to raise/donate $200.

Cheques can be made payable to:
Get Up There
Suite 430, 1496 Lower Water Street
Halifax, N.S.
B3J 3R5

Participant Information

Required fields are marked with an *

* Name:
Address:
City:
Province:
Postal Code:
* Telephone:
* Email:
* Please select a team captain. If you are registering as an individual or have not been in contact with a team contact, please select Mark Gascoigne: