Go Over the Edge for a Great Cause!

October 7th, 2017

Number of slots remaining: 77

Registration

Username
Password
First name
Last Name
E-Mail
Cell Phone Number
T-Shirt Size
Mailing Address - Street
Mailing Address - City
Mailing Address - State
Mailing Address - Zip.
Country, if not US:
Preferred Rappel Time

The rappel schedule will open immediately once  you have reached 100% of fundraising minimum .  20 days before the event if you have raised 75% of your funds, at that time you will be able to select your rappel time. Teams will be given the opportunity to select blocks of time one the team has raised  75% of the fundraising minimum.

Team Name
If you decide to join a team: For every $1,000 raised by the team, 1 team member will rappel.
I'd like to rappel individually

I'd like to create a new team -
I'd like to join existing team -
Donation Goal Amount
Desired Site Name

Registration Fee
$100.00

Credit Card

 
Card Type:
Credit Card Number:
Credit Card Expiration (mm/yy): /
Name On Card:
CVV Value:

Billing Address

 
Address:
City:
State:
Zip Code:
Country, if not US: