Virtual Teammate

Want to show your support for your favorite team but do not want a swag bag or shirt, you just want to donate? We are excited to offer the option of a Virtual Teammate for the Dash for Down Syndrome! To become a Virtual Teammate, please fill out the form below. Make sure to pick the name of the team you are joining. The team with the largest number of virtual racers and virtual teammates will get the lead the 1-mile fun run/walk on race day! Please remember that your Virtual Teammate registration will count as a tax-deductible donation and you will be emailed a receipt upon completion of the form and payment is accepted. Thank you for your support!

First Name (Required)

Last Name (Required)

Street Address (Required)

City (Required)

State (Required)

Zipcode (Required)

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Phone Number (Required)

Email Address (Required)

Team Name (Required)

If "other" was chosen for Team Name, please list team here

First Name of Each Virtual Teammate (Required)

Number of teammates (Required)

Each teammate is $10.00. Please only choose the number of teammates you listed above.

Additional Donation

If you would like to give an additional donation please do so here.

$10
$25
$50
$100
Other Amount

Other Amount

Credit Card Information

Cardholder Name (Required)

Credit Card # (Required)

Visa MasterCard American Express Discover

Expiration Date (Required)

Security Code (Required)

Visa®, MasterCard® & Discover® cardholders
Your security code is the 3-digit code at the end of the signature field on your card's back.

American Express® cardholders
Your security code is the 4-digit code located above the actual credit card number on your card's front.

Billing Zip Code (Required)

Your total payment will be

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged

Race

Virtual Teammate

Virtual Teammate

Credit Card Information