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?

Yes

No

* Name - Walker #1

* #1 - Adult, Youth, or Angel?

#1 - Purchase Cancer Services Event T-Shirt?

Name - Walker #2

#2 - Adult, Youth, or Angel?

#2 - Purchase Cancer Services Event T-Shirt?

Name - Walker #3

#3 - Adult, Youth, or Angel

#3 - Purchase Cancer Services Event T-Shirt?

Name - Walker #4

#4 - Adult, Youth, or Angel?

#4 - Purchase Cancer Services Event T-Shirt?

Name - Walker #5

#5 - Adult, Youth, Angel?

#5 - Purchase Cancer Services Event T-Shirt?

Name - Walker #6

#6 - Adult, Youth, Angel?

#6 - Purchase Cancer Services Event T-Shirt?

Name - Walker #7

#7 - Adult, Youth, Angel?

#7 - Purchase Cancer Services Event Shirt?

Name - Walker #8

#8 - Adult, Youth, 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

Would you like your shirts shipped to you?

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

* Cancer Services of Grant County is not liable for any injuries or property damage sustained during the Walk of Hope. 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: