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General Information

Sex*

Male
Female
Have you participated in HTB before?*

Yes
No
Team (Optional)

T-Shirt Size*

Small
Medium
Large
X-Large
What is your goal to raise?*

$500
$1,000
$2,000
$5,000


Safety & Medical Information

Vegetarian*

Yes
No

Donation Information

You may submit the contact information of friends or family members. They will automatically be sent an email telling them about Hit the Bricks and your participation in the event, and asking if they would be willing to support you by donating to the Brian Piccolo Cancer Research Fund on your behalf.
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