May 25, 2016 · I AM Group · No Comments Workout on Wheels Registration Below is the form for Workout on Wheels. Participant fee is $20. Waivers need to be completed at event sign-in. Entry forms and payments can also be made in person at Venomous CrossFit, 398 Marion St, Luzerne, PA 18709, or printed and mailed to Individual Abilities in Motion at 107 Commons Drive, Olyphant, PA 18447. As the event nears we will contact you with your designated start time and any other important updates. Please use the PayPal button at the bottom of this form to pay for your registration. Thank you! Full Name*Email* Enter Email Confirm Email Phone Number*Team NameAre you already a member of a complete team?* Yes No If you are already a member of a complete team, please indicate your fellow team member name here. If you are filling out this form for your fellow teammate please provide their information below. Second Teammate NameSecond Teammate Email Address Enter Email Confirm Email Second Teammate Phone NumberIf you are in need of a teammate, do you want us to pair you with someone?* Yes No Please indicate whether you prefer an earlier or later time slot to begin your workouts.EarlyLateNo PreferenceHave you or your teammate ever participated in CrossFit style workouts previously?YesNoPlease indicate if you will be pre-ordering a tee-shirt for this event, the proceeds of which help us meet our fundraising goals.*YesNoAre you planning on paying for registration now (using our PayPal button below), or in person on the day of the event?*NowIn Person On the Day of the EventPlease use this PayPal button to pay for registration for each individual that you are registering. Participant fee is $20 per person.