You are a Champion!

First Annual Trail Challenge - Completion Form

Congratulations! You have completed the Lower Connecticut River Land Trust 19 Town Challenge!

All hikers who have completed this challenge and this form

will be posted to the The Wall of Champions.

Participants will be listed by town. For added fun include a nickname or pets name.

You can also request to be listed as a group or family name. Fill out as much information as you like or select below to remain anonymous and not to be listed.

Please fill out below if you wish to donate and receive an award.

19 Town Challenge Hat

30

Donation: $

Quantity:

Navy

Oyster

Sub Total Category Hat: $

0

TrailChallengeHats.jpg

19 Town Challenge Tee Shirt (Adult Mens)

Donation: $

40

Small

Medium

Large

XL

2XL

Sub Total Category Shirt Mens: $

0

TrailChallengeTShirt.jpg

19 Town Challenge Tee Shirt (Adult Ladies)

Donation $

40

Small

Medium

Large

XL

2XL

Sub Total Category Shirt Ladies: $

0

19 Town Challenge Tee Shirt (Child)

Donation $

40

Small

Medium

Large

0

Sub Total Category Shirt Child: $

0

After you select submit you will be directed to a PayPal donation page. You must select OTHER and enter this amount: $

Save the above amount. You will not be able to return to this page. Incorrect amounts will delay shipment.

Please allow 2-3 weeks for shipping and processing.

If you would like to make a donation, but do not want any apparel, select the box below.

Your almost there! Click "Submit and Donate" to be redirected to the PayPal Donation Page. Remember to have your Total Donation Amount for the next step!

Please check that all required fields are completed

Your form has been submitted

If you would like to submit your challenge registration without a donation and be listed as a "Challenge Participant" then click "Submit Only". 

Please check that all required fields are completed

Your form has been submitted