Team Change Request Form

ACLI Capital Challenge Team Change Request Form

Please complete the form below to request a change to your Capital Challenge Team Registration.

If you have an urgent request, please contact us at [email protected]

Team Name: *

We ask to remove this person from our team: *

Name

team? or Team

And replace them with: *

Name

Occupation *

Phone: *

Email: *

Media Role:

Are You a Journalist, Reporter, or Podcaster?

Which Media Category Do You Fall Under (if multiple, which do you mostly associate with)?

Do you still have at least one woman on the team? *

Sex *

Estimated 3 Mile Avg Pace (Minutes:Seconds): *

Captain or contact: *

Email: *

Day Phone: *

Cell Phone:

Your team change request is subject to review and approval.

We will notify you once approved, or if there are any issues.

The new team member will be required to sign a waiver (if they haven’t already) to be eligible to participate on race day.

If you have any questions or concerns, please contact Whitney Dunn at [email protected] or 202-624-2303