Bright Hope's 2023 Walk for Life T-Shirt/Sponsorship Pick-Up Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

We're so excited that you have registered to be a part of Bright Hope's 2023 Walk for Life. The first 300 people who register will receive a free t-shirt. Please complete this form to let us know when and where you can pick up your t-shirt so we can have it ready for you. We also have printed sponsorship forms available, so please let us know if you need those as well. Thank you!

If you have questions, please call 610-821-4000 and ask for Amity.

Email *

Your First & Last Name *

Team Name (If Applicable)

I am Registered to Walk... *

In-Person

Virtually

Best Phone Number to Reach You *

T-Shirt Size (Please mark the size you indicated when you registered) *

Youth Small

Youth Medium

Youth Large

XXL

If you are picking up T-shirts for your team, please list their names here and t-shirt size given when registered.

If someone is picking up your t-shirt for you, please put their name here

# of Walk for Life Sponsorship Forms You'd Like to Pick Up (If applicable)

I will pick up my Sponsorship Form only

Administrative Office, 2200 Hamilton Street, Suite 108 (M-F 9am-3pm)

Clear selection

Please Choose a Pick-up Date & Location *

Wednesday, April 19 - Administrative Office, 2200 Hamilton Street, Suite 108 (9am-3pm)

Thursday, April 20 - Administrative Office , 2200 Hamilton Street, Suite 108 (9am-3pm)

Monday, April 24 - Administrative Office, 2200 Hamilton Street, Suite 108 (9am - 3pm)

Tuesday, April 25 - Easton Clinic, 2204 Northampton Street (11am - 2pm)

Wednesday, April 26 - Administrative Office, 2200 Hamilton Street, Suite 108 (9am-3pm)

I will pick up my t-shirt at the Walk for Life in person on April 29th

None of these dates and times work for me

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Bright Hope Pregnancy Support Ctr.. Report Abuse

Forms