NEDERLANDS

 Contact
 About us
 Who is who
 Links

Register for Pink Moon Run & Walk

You can register here for Pink Moon! Complete this form and hit "Submit." Once registered, you will be contacted by email or telephone with details on how to proceed in collecting donations and how to watch them accumulate between now and the event. Prizes will be awarded to the event's top fundraisers, as well as top finishers in the 8km run.

Participants can choose the 8km Walk or Run. For individuals ages 13 & older, $80 in donations is necessary to participate.

Families of two adults age 18 & older with an unlimited number of children age 12 & under can participate with a minimum donation amount of $160.

Breast cancer survivors are encouraged to participate and invited to do so for a minimum of $40 participation/donation amount.

If one adult age 18 & older wants to participate with a child 12 & under (or children), the minimum donation amount is $80 plus $1 per year of the child's age. (For example, a seven-year-old child requires $7 in donations; $87 total for adult and child.

Checks should be made out to A Sister's Hope.
Mail to: A Sister's Hope, 6263 N. McCormick Blvd., #104, Chicago, IL 60659.

Type Registration: Individual Family Survivor Adult/Child
Event: 8km Walk 8 km Run
Name:
Address:
City/State:
Zip Code:    
Telephone:  Mobile:
Email:
Gender: Female Male  
Date of Birth (day-mo-year): dd-mm-yr
Size T-shirt: Small Medium Large X-Large
I heard about Pink Moon Run & Walk:
A Sister's Hope can share my contact information with other A Sister's Hope participants in my area: Yes No

I understand that by registering for the Pink Moon event, I agree to raise the minimum donation amount of $80 in order to participate in the 8km event. If I do not reach the $80 minimum in donations, I understand that the donations already received by A Sister's Hope in support of my Pink Moon participation will remain with A Sister's Hope for the purpose of funding breast cancer research. I also understand that if I do not raise the minimum of $80, I will not be allowed to participate in the Pink Moon event.

A Sister's Hope will not be held responsible for injuries I might sustain while training for this event or while participating.

I agree