Alpha Xi Delta Phi Chapter
Color Me Alpha Xi Registration Form

Proceeds will go towards the 2022 Fall Philanthropy event, the Alpha Xi Delta Color Me Alpha Xi Color Run. Our philanthropy supports local children experiencing foster care and homelessness. If you are unable to attend the race, any donations are appreciated! *RELAY TEAMS: Register as one team (Teams of 3), put each team member name in the comment section. Team cost is $10. Each team member is responsible for individually purchasing their own T-Shirt if they choose to. ** T-Shirt sales CLOSE Tuesday, Sep 13, 2022 at 11am! Limited amount of T-shirts will be available for a higher price day of race. PLEASE PUT SHIRT SIZE IN COMMENTS**

Legal First Name: Legal Last Name:
Email Address Phone number

A payment receipt will be sent to the email address listed above for payments made via credit or debit card upon transaction authorization.

Card Type Card Number
Name on Card Card Expiration  
CVV2: Credit Card Billing Zip Code
Amount    Race Only:$10 T-Shirt Only:$15 Both:$22
Comments:
If you have questions, please contact:    
Lily Beech
(216) 403 - 1207