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.
Click anywhere on the form if amounts do not update.
19 Town Challenge Hat
Sub Total Category Hat: $
19 Town Challenge Tee Shirt (Adult Mens)
Sub Total Category Shirt Mens: $
19 Town Challenge Tee Shirt (Adult Ladies)
Sub Total Category Shirt Ladies: $
19 Town Challenge Tee Shirt (Child)
Sub Total Category Shirt Child: $
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.
Because your contribution is a donation, PayPal will finalize the payment on the 25th of each month. This allows for your donation to fully go to the Land Trust without incurring fees from PayPal.
Please allow for an additional 2 weeks from the 25th for shipping and processing.
Thank You for Your Donation!
If you would like to make a donation, but do not want any apparel, select the box below.
Your almost there! Click "Submit" to be redirected to the PayPal Donation Page. Remember to have your Total Donation Amount from above for the next step!
Please check that all required fields are completed
Your form has been submitted