Register

To register for EPBHC Charity Walk-A-Thon, please fill the registration form below or click the link below to print the form

Registration Fee:
Walkers 12 years old and up…………….$15
Kids under 12 years old…………………..$10

eRegistration:

First Name

Last Name

Title

Company

Street Address

City

State

ZIP

Country

Phone Number

Email address:

Registration Type

If registering as a team walker, please provide team name and teammates' info

If donating, please specify amount donating.