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Name *
First Name
Last Name
Address *
Address Line 1
Address Line 2
City
State
Zip
Email *
Phone *
Early Registration (On Or Before 3/31/23 Only!)
x $20.00
Register On Or Before March 31st To Get $5 Off Registration!
Individual Walk Ticket
x $25.00
VIP
x $350.00
Registration Table Signage, Inclusion in Email Blast/Newsletter, Four (4) Complimentary T-Shirts & Walk Entries
Bronze
x $1,000.00
Name/Logo on T-Shirts, Registration Table Signage, Social Media Posts & Inclusion in Email/Newsletter, Six (6) Complimentary T-Shirts & Walk Entries, Giveaway Opportunity
Silver
x $2,500.00
Course Banners/Markers, Name/Logo on T-Shirts, Table Setup/Exhibit Space at Event, Social Media Posts & Inclusion in Email/Newsletter, Eight (8) Complimentary T-Shirts & Walk Entries, Giveaway Opportunity, Giveaway Opportunity, Verbal Recognition on Stage/Awards Presentation
Party
x $4,000.00
Course Banners/Markers, Name/Logo on T-Shirts, Sponsor of After Party/Entertainment, Table Setup, Social Media Posts, Ten (10) Complimentary T-Shirts & Walk Entries, Giveaway Opportunity, Verbal Recognition on Stage/Awards Presentation
Gold
x $5,000.00
Everything From Silver Plus: Signage @ Hydration Station, Four (4) Additional Complimentary T-Shirts & Walk Entries (For A Total of 12), Scholarship for One (1) Child To Attend Team Walker Academic Programs
Platinum
x $7,500.00
Everything From Silver Plus: Start/Finish Banner, Six (6) Additional Complimentary T-Shirts & Walk Entries (For A Total Of 14), Scholarships for Three (3) Children To Attend Team Walker Academic Programs
T-Shirt Size
Please List Your Preferred T-Shirt Size(s) And We Will Accommodate As Best As We Can!
Team/Group Name
If You Are A Part Of A Team/Group Or Wish To Start One, Please Enter The Name Here! If Not, Leave Blank!
Donate to the Walk
If You Cannot Make It But Still Wish To Support The Walk, Please Copy & Paste The Following Link Which Will Re-Route You https://www.eleoonline.net/Pages/WebForms/Mobile/ShowFormMobile.aspx?id=6c0690a2-4664-4e75-993e-5bf3911f8c26&linkto=634
Waiver of Release & Liability *




Gift Note
 I wish to pay the day of or mail a check
 I agree to pay the 2.3% average credit card processing fee associated with my contribution
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