Fran Workout 2024 Open Prize Winner Form

Congratulations on making the podium in the Fran Workout 2024 Open. We will be making all prize distributions via ACH payment for this event.

In order to facilitate your payment, please complete the form below, which will encrypt all form fields provided. In addition to ACH information, we are asking all winners to provide information that will be required for the National Kidney Registry to send you a 1099 form for 2024 tax purposes.

If you do not want to provide this information online, please enter “CALL FOR INFO” in the account number and routing fields below and a member of our competition team will reach out to you at the phone number you provide.

Please note that all athletes MUST complete this form no later than 12 PM ET on February 21, 2024, in order to receive prize winnings. All ACH payments are scheduled to be made on February 22, 2024, and should be finalized in each winner’s account within 1-2 business days.