Name

Phone Number

Shipping Address

Gender

Male
Female

Date of Birth

Registration Options

Paired Traveler with a shared room ($2,950.00) [Sold Out]
Input roommate's name below
Solo Traveler with a shared room ($2,950.00) [Sold Out]
I'm willing to be paired with a roommate of the same gender
Solo Traveler with a private room ($3,750.00) [2 remaining]
I'd like my own room and agree to pay the additional hotel fee of $800
Paired Traveler with a shared room ($3,250.00) [Join Waitlist]
Input roommate's name below
Solo Traveler with a shared room ($3,250.00) [Join Waitlist]
I'm willing to be paired with a roommate of the same gender

Name of Roommate

Are you willing to share a bed with your roommate?

Special Requests

Shirt Size

Jacket Size

Hat

While we will do our best to accommodate these dietary restrictions although we may not have a full menu available for you. If you have dietary restrictions beyond these listed below please reach out to us to see if we will be able to accommodate you.

Emergency Contact

Emergency Contact Phone Number

How is the Emergency Contact related to the participant?

Admin Use Only

Bib Number

Travel Information

Arrival Date

Arrival time (use AK time zone)

Airline

Departure Date

Departure Time (use AK time zone)

Airline

Do you have access to a Covid-19 test in your area?

Food Selection

Dinner Night 1

Dinner Day 2

Lunch on Glacier Tour Day 3

Lunch Day 4

Lunch Day 7

Tell us a fun fact about yourself

Medical Information

Please list any allergies you have

List any prescription or over the counter medications, supplements or vitamins you are currently taking

Do you have any current injury/illness that may impact your participation in this event?

If you answered yes, please provide more details

What is your current weight with race clothes and shoes?

Total

$2,950.00

Coupon Code