Cancer Walk Registration

Quantity
Price
Total
Individual

Individual Registration - $20/person * Please make sure to order your shirt size.

X
$
19.99=
$
0

Group of 4 or More

Group of 4 or More - $15/person Please list the names in your group below in the additional comments. ** Please make sure to order your shirt sizes.

X
$
14.99=
$
0

Children 5 and Under

Children 5 and Under - $12/person * Please make sure to order your shirt size.

X
$
11.99=
$
0

Shirt Size Adult Small

Shirt Size - Adult Small

X
$
0.01=
$
0

Shirt Size Adult Medium

Shirt Size - Adult Medium

X
$
0.01=
$
0

Shirt Size Adult Large

Shirt Size - Adult Large

X
$
0.01=
$
0

Shirt Size Adult XL

Shirt Size - Adult Extra Large

X
$
0.01=
$
0

Shirt Size Adult 2X

Shirt Size - Adult 2X

X
$
0.01=
$
0

Shirt Size Adult 3X

Shirt Size - Adult 3X

X
$
0.01=
$
0

Child Small Shirt Size

Shirt Size - Child Small

X
$
0.01=
$
0

Child Medium Shirt Size

Shirt Size - Child Medium

X
$
0.01=
$
0

Child Large Shirt Size

Shirt Size - Child Large

X
$
0.01=
$
0

Pinwheel

Remember loved ones who were lost to cancer or honor a loved one who is battling cancer with a pinwheel. Donation of $5/pinwheel.

X
$
5.00=
$
0

Final Total:
$
0

Contact Information

Country*
Email*
Confirm Email*
Phone*

Payment Information

Amount*
$
Name on Card*
Card Number*
Additional Comments

Security Code

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