Newsletter Signup
Login
I Need Help
I Want to Help
Menu
Home
Who We Are
▼
About Us
Our Team
Services
Get Involved
Stories
Events
GIVE
Contact
Walk of Hope
If you are a human, ignore this field
TEAM INFO
Team Name
Select option...
No Team - Walking as an Individual
Alphabet Soup ABA
Athletico Physical Therapy
Better Together
Betty Lous Crew
Cancer Crusaders
Delta Theta Tau Ta's
Cancer Stompers
Ellie Strong
Cathy's Cats
ESS
The Fairmount State Bank
Friends for Life
Fudge Lady
Jay Bird's Team
Just Beat It
KKSTRONG
Kathleen Tarter’s Family & Friends
Marion Public Library
Marion Utilities
McAlister's Deli
Moving Real Estate
Our Dads
Pink Fireflies
#TeamBeffers
Team Bryant
#TeamCarter&Johnson
Team Whitehead
Teryl's "Pumped Up" to Kick Cancer Team
The Support Squad
Via Credit Union
United Way
UAW Local 977
Wiley Metal Fabricating, Inc.
Ward's Warriors
Other
If your team is not listed, scroll to the bottom of the list and select "other" and type your team name.
If this is a new team, are you registering as Team Captain?
Select option...
Yes
No
This is not a new team.
WALKER INFO
*
Name - Walker #1
*
#1 - Walker, Virtual Walker, or Angel?
Select option...
Walker - $5
Virtual Walker - $5
Angel - $5
#1 - Purchase Cancer Services Event T-Shirt?
Select option...
Small - $15
Medium - $15
Large - $15
X-Large - $15
XX-Large - $18
XXX-Large - $18
XXXX-Large - $18
Youth Small - $15
Youth Medium - $15
Youth Large - $15
Name - Walker #2
#2 - Walker, Virtual Walker, or Angel?
Select option...
Walker - $5
Virtual Walker - $5
Angel - $5
#2 - Purchase Cancer Services Event T-Shirt?
Select option...
Small - $15
Medium - $15
Large - $15
X-Large - $15
XX-Large - $18
XXX-Large - $18
XXXX-Large - $18
Youth Small - $15
Youth Medium - $15
Youth Large - $15
Name - Walker #3
#3 - Walker, Virtual Walker, or Angel?
Select option...
Virtual Walker - $5
Angel - $5
Walker - $5
#3 - Purchase Cancer Services Event T-Shirt?
Select option...
Small - $15
Medium - $15
Large - $15
X-Large - $15
XX-Large - $18
XXX-Large - $18
XXXX-Large - $18
Youth Small - $15
Youth Medium - $15
Youth Large - $15
Name - Walker #4
#4 - Walker, Virtual Walker, or Angel?
Select option...
Walker - $5
Virtual Walker - $5
Angel - $5
#4 - Purchase Cancer Services Event T-Shirt?
Select option...
Small - $15
Medium - $15
Large - $15
X-Large - $15
XX-Large - $18
XXX-Large - $18
XXXX-Large - $18
Youth Small - $15
Youth Medium - $15
Youth Large - $15
Name - Walker #5
#5 - Walker, Virtual Walker, or Angel?
Select option...
Walker - $5
Virtual Walker - $5
Angel - $5
#5 - Purchase Cancer Services Event T-Shirt?
Select option...
Small - $15
Medium - $15
Large - $15
X-Large - $15
XX-Large - $18
XXX-Large - $18
XXXX-Large - $18
Youth Small - $15
Youth Medium - $15
Youth Large - $15
Name - Walker #6
#6 - Walker, Virtual Walker, or Angel?
Select option...
Walker - $5
Virtual Walker - $5
Angel - $5
#6 - Purchase Cancer Services Event T-Shirt?
Select option...
Small - $15
Medium - $15
Large - $15
X-Large - $15
XX-Large - $18
XXX-Large - $18
XXXX-Large - $18
Youth Small - $15
Youth Medium - $15
Youth Large - $15
Name - Walker #7
#7 - Walker, Virtual Walker, or Angel?
Select option...
Walker - $5
Virtual Walker - $5
Angel - $5
#7 - Purchase Cancer Services Event Shirt?
Select option...
Small - $15
Youth Small - $15
Youth Medium - $15
Youth Large - $15
Medium - $15
Large - $15
X-Large - $15
XX-Large - $18
XXX-Large - $18
XXXX-Large - $18
Name - Walker #8
#8 - Walker, Virtual Walker, or Angel?
Select option...
Walker - $5
Virtual Walker - $5
Angel - $5
#8 - Purchase Cancer Services Event T-Shirt?
Select option...
Small - $15
Medium - $15
Large - $15
X-Large - $15
XX-Large - $18
XXX-Large - $18
XXXX-Large - $18
Youth Small - $15
Youth Medium - $15
Youth Large - $15
SURVIVOR INFO
Please check all walkers from above (excluding angels) who have ever been diagnosed with cancer.
#1
#2
#3
#4
#5
#6
#7
#8
CONTACT INFO
*
Name
*
Address
*
City
*
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
Zip Code
*
Email
Phone
SHIPPING INFO
Would you like your shirts or survivor bib shipped to you?
Select option...
Pick Up - FREE
Ship 1 Shirt - $6
Ship 2 Shirts - $10
Ship 3-4 Shirts - $12
Ship 5-6 Shirts - $14
Ship 7-8 Shirts - $16
Ship Survivor Bib Only - $2
Sponsor Additional Angel Walkers
Sponsor one of the 2,361 deceased clients in our database as angel walkers. We would love to honor each and every one of these individuals! Enter the number of angels you would like to sponsor.
ADDITIONAL DONATION INFO
Help cover credit card costs by donating $1 or make an additional donation to help people facing cancer in Grant County?
Select option...
1
Other
*
Waiver: Cancer Services of Grant County is not liable for any injuries or property damage sustained during the Walk. By selecting YES, you signify that all parties above (or their parent/guardian if under 18) have read, understand, and agree to waiver.
Select option...
YES
No - (You must choose YES to be able to participate in the Walk of Hope)
N/A - Registering ONLY Virtual Walkers and/or Angels
Would you like to create a fundraising campaign?
Yes
No
* Campaign name
* Goal
Payment Information
Total: