Clone of Robert Community House 5K Run for Roberti 2025 Registration

Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Let everyone walk with pride! Sponsor a neighborhood group!

Many of our community members struggle to meet their own basic needs yet still volunteer their time and talents at RCH. Help them participate by sponsoring a neighborhood group.
How would you like to participate?*

Register for the 5K walk/run onlyRegister for the 5K walk/run and Sponsor a GroupCan't Participate in the 5K but would like to Sponsor a Group
How may runners would you like to sponsor?*

4 for $10010 for $200
Total Cost of Sponsoring a Group*
Would you like to make an additional donation?

Yes
Enter the additional amount you would like to donate:*
US$
Register Walk/Runners
Number of Runners*
$35 per person or $120 for a family pack of 4
Runner #1 Name

First NameLast Name
Runner #1 T-Shirt Size*
Runner #2 Name

First NameLast Name
Runner #2 T-Shirt Size*
Runner #3 Name

First NameLast Name
Runner #3 T-Shirt Size*
Runner #4 Name

First NameLast Name
Runner #4 T-Shirt Size*
Total Runners Registration Fees*
T-Shirt Pick-Up
T-Shirt Pick-Up Options*

Pick up at the Roberti Community House, 919 8th Street, Waukegan, IL: 5/26-6/4 (Mon-Fri, 9am to 4pm)I'm out of state and need my t-shirt shipped (there is an additional $10 fee for shipping)I have arranged a different pick up with Roberti Community House
Please provide the address where you would like your t-shirt(s) shipped?*

Same address listed aboveDifferent address
T-Shirt Shipping Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Shipping Fee*
Total Registration Fees
Total Registration Amount*
How Would You Like to Pay for Your Registration?*

CheckVenmoPayPal, Debit, or Credit Card (A 3.98% fee will be added)
Please make your check payable in the amount of {totalRegistration47} to "Roberti Community House", add "5K" to the memo line and mail your check to:

Roberti Community House
P.O Box 65
Lake Forest, IL 60045

Please make sure to click the submit button at the bottom of this form to complete your registration.
Please make your payment in the amount of {totalRegistration47}, add "5K" to the memo and pay via Venmo by scanning the QR Code below.

Please make sure to click the submit button at the bottom of this form to complete your registration.
Please make your payment in the amount of {donationAmount32} via PayPal.
Total PayPal Amount
Pay via PayPal or Credit Card

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To use Credit/Debit card, please use first button below.

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Let everyone walk with pride! Sponsor a neighborhood group!

Register Walk/Runners

T-Shirt Pick-Up

Total Registration Fees