Students Supporting Brain Tumor Research : Register for Events : Event Calendar

2012 Phoenix/Scottsdale Walk-a-thon

Saturday, February 25, 2012, 12:00 pm - 3:00 pm

Price Information: ** DISCOUNTED ON-LINE REGISTRATION $18 CLOSES 2/22/2012 **
** WALK-UP REGISTRATION $20 ON Sat., 2/25/2012 at the Gate**

** If you want to register more than 4 walkers, register and pay for up to a maximum of 4 and then repeat this registration process for additional walkers. **

** IMPORTANT: Enter "1", "2", "3", or "4" in the "QUANTITY field below to indicate the TOTAL NUMBER OF WALKERS on this registration page.

Cancel registration and return to the event page

Number of Walkers Registering Here

# of Walker's on this Registration (1-4) *REQUIRED* ($18.00 per)

General Info

School or Company *REQUIRED*

"none" or if you want to credit a different school, write the name in the COMMENTS box below

Walker #1's First Name * *REQUIRED*

Walker #1's Last Name * *REQUIRED*

E-Mail Address * *REQUIRED*

For confirmation email

Phone * *REQUIRED*

ex. xxx-xxx-xxxx

Walker #2's First Name

If applicable

Walker #2's Last Name

If applicable

Walker #3's First Name

If applicable

Walker #3's Last Name

If applicable

Walker #4's First Name

If applicable

Walker #4's Last Name

If applicable

Additional Donation Amount

.00

ex. 25

Comments (Optional)

ex. "I am a 5 year survivor"; "Please add xxx school to dropdown"