Participant Registration

Please select a ticket option in order to continue the registration process.

Participant First Name:*

Participant Last Name:*

Participant Email:*

Confirm Email:*

By registering as a participant and providing your email address, you are agreeing to receive important participant event updates via email.

User Name:*

A user name and password must be entered in order to be able to access and update your personal fundraising page.
Enter a unique user name for each participant of the event. No spaces allowed.
(i.e. first and last name: janedoe or first initial and last name jdoe)

Password:*

Minimum 6 characters. At least one letter and one number.
Only enter letters, numbers, periods, hyphens or exclamation marks.

Confirm Password:*

I would like to set a goal of:*

CLICK BELOW TO SELECT A FUNDRAISING GOAL, Go for it! See how much you can raise for childhood cancer research. See if you can raise $50 by asking friends, colleagues, families and social media contacts to donate just $5. Donation Fuel Research, Research gives us Better Outcomes!

In addition to registering, I would like to make a donation in the amount of:

$.00

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