Registration

IF YOU WISH TO ONLY DONATE BUT NOT WALK PLEASE FILL IN THIS FORM AND SELECT "DONOR ONLY"

Your donation receipt will be mailed to the address you enter here.

Your pre-registration helps us to prepare the right amount of t-shirts & refreshments

Also, please indicate your shirt size.

Thanks!

First Name:	Last Name:
Street:
City:	State:	ZIP:
Email:
Home Phone:	Work/mobile Phone:

Registration details:

Adults:	$40 ea	includes t-shirt & refreshments
Children:	$25 ea	ages 6-12, includes t-shirt & refreshments
Sponsor:	$500	includes enhanced publicity with your logo on the t-shirts, signage, and other promotional materials, 2 registrations and 2 t-shirts. You will be contacted after you register to coordinate the details of your logo, etc.
Donor:	$40 ea	Donate $40 or more and get a t-shirt! You can change the donation amount on the next page if you'd like.
Extra t-Shirts:	$15 ea	if you want additional t-shirts tell us here!

T-Shirt details:

Small:		Large:
Medium:		Extra Large: