To join the Team OB/GYN at your Cevix whose team captain is Michelle Poad, you must complete the form below. Note that in order to join this team, you must first be officially registered for either the 5K Walk, 5K Run, or 10K Run.

Team Name Team OB/GYN at your Cevix
Business Name Conemaugh OB/GYN / Franklin St
Please enter your personal information exactly as you did when registering.
Your Name
Your Email
Your Gender
Your Race Type
Age On Race Day