WALK for LIFE with Alpha Center/Tri-Co. CLR
REGISTRATION & DONOR FORM
Additional Participant Names
Volunteering for the event
Donating funds or resources
If Volunteering for the event, your preference:
What time can you work/volunteer?
During the event 9am - 12pm
Breakdown 12:30pm - 2pm
Registration Fee For Walkers or Runners
Fees: $10 per person by June 27, 2021 (incl. t-shirt)
$25 max for family (parent/guardian(s) & children only, 2 t-shirts)
$10 for a ghost walker (pay for someone else to walk/jog)
My Walk for Life Registration/Donation
( X )
Enter your registration or donation amount -- thank you!
If registering for walk before June 27, what adult size for your t-shirt(s)? (Use the "other" field for size of 2nd shirt with family registration.)
Where did you hear about the event?
Alpha Center/Tri-Co chapter volunteer
Pay with PayPal
Debit or Credit Card
Credit Card Number
Please click one of the PayPal options to complete payment and
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