Walkathon Entry Form

Walkathon Entry Form

Please complete the form below to provide details about your submission.
Team Gold - Strength |Team Purple - Awareness| Team Teal- Healing |Team White- Hope |Or create your own
Full Name

First NameLast Name
Information
Team Name & Color (if applicable)
E-mail
Phone
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Team or Individual
Team Size- MIN 3- MAX 6
Please provide all team members names if you're a team, include if you're being sponsored, and who is sponsoring your team.
Entry Fee Payment
Check One
REQUIRED. Have you paid the entry fee? (Individuals $10 or Team $50)
WAYS TO EARN EXTRA POINTS

-New Hygeine Products- 1pt per item

-Unused School Supples (per pack)-1pt per item

-Costumes- 5pts per person

-Costumes Coordinating to team color- 10 pts per person
Should be Empty: