Torch Run Coordinator Update Form

This form should be completed when a Torch Run agency needs to update contact information for its coordinator.

The Coordinator Update form can also be downloaded.

Date
Date Format: MM slash DD slash YYYY
Department*
Coordinator Name
First Last
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Shipping Address*
Street Address Address Line 2 City State ZIP Code

Note: Please no P.O. boxes, we need a physical address where UPS can deliver packages.
Phone Number*
Fax Number*
Email*
Name of Chief/Sheriff/Facility Administrator*
First Last
Chief/Sheriff/Facility Administrator Email*
Please select all that apply

If you have any questions about the form, contact the NC Torch Run at (919) 719-7662.

I am a new Torch Run coordinator for my department this year.
I am a returning Torch Run coordinator.
Our department doesn't currently raise funds for Special Olympics, but would like more information.
Our department is only interested in receiving information on running the Torch in our area.

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