Hearts in Motion: 2k Walk Registration Form
Thank you for joining Hearts in Motion: Walk for Healing, a 2K community fundraiser supporting families affected by violence. Registration is free, and a suggested $15 donation can be made through our OneCause page https://onecau.se/_bfmsq1
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Number of Walkers in Your Party
*
Do you have a team name?
Are you walking in memory of someone?
Would you like to receive updates about Chicago Survivors?
*
Yes
No
Help us sustain our 5 linked programs
Consider donating $15 via scanning the QR code below or visiting: onecau.se/_bfmsq1
Do you have any special needs or requirements?
Media Release Consent Photos and video will be taken during the event. By signing below, you consent to the use of your image, voice, or likeness in promotional and marketing materials produced by Chicago Survivors.
*
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