Full Name*
Email*
Age*
T-shirt Size*Select…Youth SmallYouth MediumYouth LargeSmallMediumLargeXL
Are you a breast cancer survivor or thriver?YesNo
If yes, you will receive a special colored T-shirt in recognition of your strength and journey.
How many additional participants (age 6+) would you like to register?*Select…012345 Children age 5 and under do not need to be registered.
Email
Are you a breast cancer survivor or thriver? YesNo
Would you like to add an additional donation to support the SV4 Hope Foundation?No donation$10$25$50$100Other
Enter custom donation amount
This contact will be used in case of an emergency for anyone included in this registration.
Phone*
Participation Waiver* I agree to the SV4 Hope Walk Participation Waiver.
Photography and Video Waiver I acknowledge that photographs and videos taken during this event may be used by SV4 Hope Foundation on its website and in promotional materials.
Event t-shirt & packet pickup Participation packets and event t-shirts may be picked up in advance at a designated local pickup location (details will be shared prior to the event) or on event day during check-in. Please note that t-shirts and participation packets cannot be shipped.
Total Participants: 1
Registration Fee: $25.00
Additional Donation: $0.00
Processing Fee (2.5%): $0.63 (This fee helps more of your support go directly to SV4 Hope.)
Total Amount: $25.63
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