Cancer Services of Grant County

Team Name

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?

* Name - Walker #1

* #1 - Walker, Virtual Walker, or Angel?

#1 - Purchase Cancer Services Event T-Shirt?

Name - Walker #2

#2 - Walker, Virtual Walker, or Angel?

#2 - Purchase Cancer Services Event T-Shirt?

Name - Walker #3

#3 - Walker, Virtual Walker, or Angel?

#3 - Purchase Cancer Services Event T-Shirt?

Name - Walker #4

#4 - Walker, Virtual Walker, or Angel?

#4 - Purchase Cancer Services Event T-Shirt?

Name - Walker #5

#5 - Walker, Virtual Walker, or Angel?

#5 - Purchase Cancer Services Event T-Shirt?

Name - Walker #6

#6 - Walker, Virtual Walker, or Angel?

#6 - Purchase Cancer Services Event T-Shirt?

Name - Walker #7

#7 - Walker, Virtual Walker, or Angel?

#7 - Purchase Cancer Services Event Shirt?

Name - Walker #8

#8 - Walker, Virtual Walker, or Angel?

#8 - Purchase Cancer Services Event T-Shirt?

Please check all walkers from above (excluding angels) who have ever been diagnosed with cancer.

#1

#2

#3

#4

#5

#6

#7

#8

* Name

* Address

* City

* State

* Zip Code

* Email

Phone

Would you like your shirts or survivor bib shipped to you?

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.

Help cover credit card costs by donating $1 or make an additional donation to help people facing cancer in Grant County?

* 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.

Would you like to create a fundraising campaign?

Yes

No

* Campaign name

* Goal

Payment Information

Total:

Walk of Hope

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