Register Patriot Challenge Registration 1Registration Type2Registrant Details3Additional Details How would you like to register?* Join an existing PC 2023 team As an individual Create a new team Please Select A Team*– Select One –Adaptive Climbing CoalitionAdventurersBattle BornBetter Late than NeverBetter TogetherBrigade V 23Central Electric Power CooperativeChapinFewCheeseheadsColorado Vet TechiesDistance MattersDummy Cords and Comm ChecksEnforcersF.A.S.T.F3 EvanstonF3 JOCOGAF3 KalamazooF3 NapervilleF3 NE WakeF3 Parks and WreckF3 South SoundF3 Space CityGoofus or GallantHannum 2023Heroes Media GroupHigh Altitude LegendsIron Sharpens IronJuliett BravoKicking BackLexington Burn Babes 0830Light the FuseMerrill’s MarOLDERsMetroport Chamber Leadership ClassMetroport Veterans AssociationMG+M AvengersMG+M Krewe du LawMG+M OFA ElitesMG+M SpartanMG+M Wall Street WarriorsMisFitsNaughty NorthNGMUNomad WarriorsNuStar SuperstarsPatriots UncorkedRanger Dream TeamRockies RangersRun Granger RunRunderlustRunning HomeRUNPARTSSangin ApachesSilent VigilanceStorm Lake Police DepartmentSummit PlanoSumo Doesn't CountSynovus Veteran ERGTeam AaRun 2023Team Double LTEAM FCFDTeam Fort WorthTeam IndianaTeam PaladinTeam Schlitz 2023Team Schwab 2023Team WalkerThe Darby Project MidwestThe Rock at St. LukeThe Texas Silver Rush TeamThe Wounded Healer ProjectTherabanditsThree Rangers FoundationTwin Rotors MissionTyndall SheepdogsUS Army Ranger Association (USARA)Victory Strength IndyWill Run for SmilesTeam CreationTeam Name* Patriot Challenge Cause*Share with us your participation motivation! We love to hear your “why” and what motivates you to accept the Challenge. If your team is participating in the Patriot Program Incentive, please include a website and brief description of your chosen organization. To learn more about the Patriot Program Incentive, visit the “about” page above!Team Captain First Name* Team Captain Last Name* Team Captain Email* Team Captain Phone*Team Mapping (Hidden)Team Registrant DetailsFirst Name* Last Name* Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÃ…land Islands Military Affiliation*– Select One –Active DutyVeteranMilitary family membersAmerican Patriot – never served, but support our militaryBranch of Service*– Select One –Air ForceArmyMarinesNavyCoast Guard Account & PaymentCreate An Account Password* Enter Password Confirm Password Donation Frequency* No Donation One Time Monthly My Patriot Donation (optional) Enter a dollar amount you’d like to donate to the GallantFew mission. The suggested donation amount is $25.Registration OptionsParticipation ONLYRegistration + T-shirtRegistration + T-shirt + Finisher's CoinT-shirt size*– Select One –Not Applicable / did not register to receive shirtX-SmallSmallMediumLargeExtra Large2XLCover Processing Fees? I want to cover the processing fees for my donation Coupon Code 100% Discount $0.00 10% Discount $0.00 CYBER11 Discount $0.00 $42 Discount $0.00 $20 Discount $0.00 $10 Discount $0.00 $5 Discount $0.00 Processing Fees Price: $0.00 Total Today Select Payment Method* Credit Card (Stripe) Credit Card (PayPal) Credit Card*Card Details Cardholder Name Payment Method*PayPal Checkout American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name Δ TweetShareSharePin0 Shares
