Registration Form - 2017 Kacie's Cause Mother's Day Walk
***EACH INDIVIDUAL WALKER MUST COMPLETE THIS REGISTRATION FORM.***

There is NO COST to register.

T-shirt deadline has passed, but we still invite you to register up until the day of the walk!!

If you have questions before submitting your request, please contact Betsy Gillen, Chapter Director, at betsy.kaciescause@gmail.com.
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Walk Registration
*** EACH INDIVIDUAL WALKER MUST COMPLETE THIS REGISTRATION FORM.***

Please enter your information below. (This info will not be made public.)

*Required Field
Last Name *
First Name *
Email Address *
In case we need to confirm anything, or provide you with additional information about the walk.
Phone Number
If you don't check your email very often, please provide as we may need to get in touch with you.
Team Name (optional)
If yes, tell us what your group calls yourselves. An example team name could be "Walking for Good". No pressure on this one! If you do not wish to use a team name, you can skip this question.
Complimentary Lunch *
Offered by The Point after the Walk! Will you join us?
Did you participate in any other Kacie's Cause Mother's Day Walks?
If yes, welcome back! If no, we're so happy to see you here!
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Comments you might wish to share with the Kacie's Cause Parkesburg Chapter Team
(Your comments will be kept confidential.)
THANK YOU for registering for the Fourth Annual Kacie's Cause Mother's Day Walk. We are happy that you will be joining us for an enjoyable walk to remember & honor our loved ones.
Kacie's Cause welcomes all walkers free of charge, although we will gratefully accept any cash and/or check donation you are moved to contribute on the day of event to help defray costs. Thank you.

***Please review that your information is correct, then click the "SUBMIT" button to complete your registration.***
ONE LAST THING!!! SPONSORSHIP OPPORTUNITIES:
Would you like your business name listed on the back of the 2017 Mother's Day Walk shirt?

Local Business Owners, PLEASE SUPPORT OUR CAUSE!
When you make a tax deductible contribution** of $100 or greater, before April 15, YOUR company name will be printed on the back of our 2017 t-shirts!

To make your sponsorship donation*, click
http://www.kaciescause.com/Donation.html
For proper allocation of funds, please enter "Mother’s Day Walk" and your "Company Name" in the comment field.
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