Thank you for registering your team for the Our Hope of Burlington Annual Hope Walk and 5K Walk/Run. Please fill out out the requested information below.

Team registration is $175 - the first 15 t-shirts are free; each additional t-shirt is $10.

The 5K Walk/Run registration is $25 per person - which covers a t-shirt. 

Each XXL and XXXL sized t-shirts are an extra $1 regardless of the total number of shirts.

After clicking "Submit", you will be taken to our secure payment site to enter and submit your payment information.

Event: * - Select -The Hope Walk5K Run

Individual's Name (for 5K):

If you are registering for the 5K Walk/Run, enter your name here.

Team Name:

Team Sponsor:

Team Captain:

Address: *

City: *

State: * - Select -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

ZIP: *

Email: *

Phone: *

Number of Team Members:

Returning Teams Only

Artwork:

No changes to sponsor artwork

New artwork will be provided by April 4, 2012

Please indicate number of t-shirts

Small:

Medium:

Large:

XL:

XXL:

XXXL:

Total: $

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