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Walk of Hope 2017
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Team Name
Select option...
No Team - Walking as an Individual
7855 Crusaders
9th Street Cafe
Affordable Muffler & Automobile
Amy Terrell
Betty's Walkers
Boomer's Walkers
Butt Out
Cafe Valley Bakery
Cancer Cousins
CASA
Cathy's Cats
Cathy's Minions
Center Stage Dance Studio
Charli's Angels
Chris Boyd
Circle of Love
City Hall Warriors
Claire Clark Beauty Lounge
Clownin' Around for a Cure
Collins
CSP - Pink Warrior
Davie's Do Gooders
Donna's 25th
Earl & Rita Thomas
Eddie
Edward Jones
Family LifeCare
First Farmers Bank & Trust
Franklin Electric
Gas City GNP
Gilbert's
Gorman & Bunch Orthodontics
Granny's Team
Grant County Sheriff
Griffin Gladiators
Happy Feet / Riverside
Heart to Heart Hospice
Heart & Sole
Hoosier Jiffy Print
Hunting for a Cure
IMG
Indians Battle for a Cure
JazzyStrong
Jeff Strong
Jennifer's Angel Team
Kelly's Krusaders
Mama's Babys
Marion Fire Department
Marion Pediatrics
Marion Utilities
Mathias
Matthews Epworth UMC Team Hope
Mean Muggin' For a Cure
MedExpress
MGH / Donna Knight
MGH Medical Oncology
Midwest Eye Consultants
Oak Hill Junior High
Premier Care of Indiana
Phoenix Data Corporation
Quality Care
Rack Attack
Renee's Tribe
Rosetta's Rockers
Save the Pink Elephants 2.0
Shakers & Bakers- Eastbrook Cooks
Stomp Out Throat Cancer
Susan's Team
Teal There's A Cure
Team Aggie
Team Beacon
#TeamBeffers
Team Blessed
Team Brenda Long
Team Chandler
Team Cheryl
Team Charlotte
Team Cort
#Team-Ed
Team GG
Team Coz
Team Ginger
Team Grace
Team Halo
Team IMG
Team Jeff
Team Jerry
Team Judy
Team Karen Wortinger
Team Kay
Team Ketring
Team Mimi / Survivor
Team Moana
Team Monty
Team Phillippe
Team RJB
Team Showen
Team Summers
Team Teresa
Team Tedro
Team Tom Parker & Kinsleigh Disney
Twin City
Team Tribe Fights for a Cure
Team Wild Ones
UAW Local 977
UNforgettables
Via Credit Union
Walk by Faith
Walk for Diana
Welch Packaging
Wildcats
Woman's Life Chapter 807
Other
If this is a new team, are you registering as Team Captain?
Yes
No
*
Name - Walker #1
*
#1 - Adult, Youth, or Angel?
Select option...
Walker: Adult - ages 18 and over ($8)
Walker: Youth - ages 5 - 17 ($8)
Virtual Walker: Adult - ages 18 and over ($8)
Virtual Walker: Youth - Ages 5 - 17 ($8)
Angel ($5)
#1 - Purchase Cancer Services Event T-Shirt?
Select option...
Adult Small - $15
Adult Medium - $15
Adult Large - $15
Adult X-Large - $15
Adult XX-Large
Adult XXX-Large - $18
Adult XXXX-Large - $18
Name - Walker #2
#2 - Adult, Youth, or Angel?
Select option...
Walker: Adult - ages 18 and over ($8)
Walker: Youth - ages 5 - 17 ($8)
Virtual Walker: Adult - ages 18 and over ($8)
Virtual Walker: Youth - Ages 5 - 17 ($8)
Angel ($5)
#2 - Purchase Cancer Services Event T-Shirt?
Select option...
Adult Small - $15
Adult Medium - $15
Adult Large - $15
Adult X-Large - $15
Adult XX-Large
Adult XXX-Large - $18
Adult XXXX-Large - $18
Name - Walker #3
#3 - Adult, Youth, or Angel
Select option...
Walker: Adult - ages 18 and over ($8)
Walker: Youth - ages 5 - 17 ($8)
Virtual Walker: Adult - ages 18 and over ($8)
Virtual Walker: Youth - Ages 5 - 17 ($8)
Angel ($5)
#3 - Purchase Cancer Services Event T-Shirt?
Select option...
Adult Small - $15
Adult Medium - $15
Adult Large - $15
Adult X-Large - $15
Adult XX-Large
Adult XXX-Large - $18
Adult XXXX-Large - $18
Name - Walker #4
#4 - Adult, Youth, or Angel?
Select option...
Walker: Adult - ages 18 and over ($8)
Walker: Youth - ages 5 - 17 ($8)
Virtual Walker: Adult - ages 18 and over ($8)
Virtual Walker: Youth - Ages 5 - 17 ($8)
Angel ($5)
#4 - Purchase Cancer Services Event T-Shirt?
Select option...
Adult Small - $15
Adult Medium - $15
Adult Large - $15
Adult X-Large - $15
Adult XX-Large
Adult XXX-Large - $18
Adult XXXX-Large - $18
Name - Walker #5
#5 - Adult, Youth, Angel?
Select option...
Walker: Adult - ages 18 and over ($8)
Walker: Youth - ages 5 - 17 ($8)
Virtual Walker: Adult - ages 18 and over ($8)
Virtual Walker: Youth - Ages 5 - 17 ($8)
Angel ($5)
#5 - Purchase Cancer Services Event T-Shirt?
Select option...
Adult Small - $15
Adult Medium - $15
Adult Large - $15
Adult X-Large - $15
Adult XX-Large
Adult XXX-Large - $18
Adult XXXX-Large - $18
Name - Walker #6
#6 - Adult, Youth, Angel?
Select option...
Walker: Adult - ages 18 and over ($8)
Walker: Youth - ages 5 - 17 ($8)
Virtual Walker: Adult - ages 18 and over ($8)
Virtual Walker: Youth - Ages 5 - 17 ($8)
Angel ($5)
#6 - Purchase Cancer Services Event T-Shirt?
Select option...
Adult Small - $15
Adult Medium - $15
Adult Large - $15
Adult X-Large - $15
Adult XX-Large
Adult XXX-Large - $18
Adult XXXX-Large - $18
Name - Walker #7
#7 - Adult, Youth, Angel?
Select option...
Walker: Adult - ages 18 and over ($8)
Walker: Youth - ages 5 - 17 ($8)
Virtual Walker: Adult - ages 18 and over ($8)
Virtual Walker: Youth - Ages 5 - 17 ($8)
Angel ($5)
#7 - Purchase Cancer Services Event Shirt?
Select option...
Adult Small - $15
Adult Medium - $15
Adult Large - $15
Adult X-Large - $15
Adult XX-Large
Adult XXX-Large - $18
Adult XXXX-Large - $18
Name - Walker #8
#8 - Adult, Youth, Angel?
Select option...
Walker: Adult - ages 18 and over ($8)
Walker: Youth - ages 5 - 17 ($8)
Virtual Walker: Adult - ages 18 and over ($8)
Virtual Walker: Youth - Ages 5 - 17 ($8)
Angel ($5)
#8 - Purchase Cancer Services Event T-Shirt?
Select option...
Adult Small - $15
Adult Medium - $15
Adult Large - $15
Adult X-Large - $15
Adult XXX-Large - $18
Adult XXXX-Large - $18
Adult XX-Large
Please check all walkers from above (excluding angels) who have ever been diagnosed with cancer.
Walker #1
Walker #2
Walker #3
Walker #4
Walker #5
Walker #6
Walker #7
Walker #8
*
Contact Name
*
Contact Address
*
Contact City, State, Zip
*
Contact Email
Contact Phone
Shirts: Pick Up or Ship?
Select option...
Pick Up - FREE
Ship 1 Shirt - $5
Ship 2 Shirts - $7
Ship 3-4 Shirts - $9
Ship 5-6 Shirts - $10
Ship 7-8 Shirts - $12
Help Cancer Services 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)
Would you like to create a fundraising campaign?
Yes
No
* Campaign name
* Goal
Payment Information
Total: