SIGN UP PAGE – 100000 STEPS

Name

First

Last

Email

Email consent

I accept that the race organizers will contact me through email.

consent of Email

Street Address, City, Province, Postal Code

Phone Number

How many steps are you committing to?

100,000 steps INDIVIDUAL
50,000 steps INDIVIDUAL
25,000 steps INDIVIDUAL
100,000 steps TEAM
50,000 steps TEAM
25,000 steps TEAM
I will be participating remotely (if you're out of town but will still be attempting 50,000 steps individually or in a team))

Number of Participants:

1 - INDIVIDUAL EVENT
2 - TEAM EVENT
3 - TEAM EVENT
4 - TEAM EVENT

TEAM NAME

Participation consent

By checking this box I confirm that I agree to take full responsibility for my health, safety, and person during the 100,000 Steps Challenge. The event organizers are not responsible for any injuries, accidents, or damages. I acknowledge that this even takes place on roads with motor vehicles, sometimes without sidewalks, I participate at my own risk.

Donation commitment

$50 - INDIVIDUAL DONATION
$25 - INDIVIDUAL STUDENT DONATION
$100 - TEAM DONATION
I WANT TO SPONSOR this great cause but will not be participating (Please specify donation amount below)

Please choose one of the above donation categories then click on this link to go to our official donation page. Don't forget to submit this form so we know you are participating! https://fundraisemyway.cancer.ca/campaign/100000-Steps-Challenge
Thank you for your generosity.

SPONSORSHIP DONATION AMOUNT (copy)

How did you hear about this event

Word of mouth
Social Media
Other

Comments or Questions

Checkboxes

I will finalize my registration by making a donation through the link that will be provided in the confimation email.