JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Walk A Mile With Behind A Smile Registration (5/25/2024)
Please register each adult individually unless you are registering a team. Registration includes T-shirts and a Swag Bag of goodies!
Adults 17 and up $25
Kids $10
Teams of no more than 5 $100
Vendor Registration $0
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name (First, Last) Or
Team Name
*
Your answer
Contact Number
*
Your answer
Email
*
Your answer
Shirt Size
Teams, please list each individual name and shirt size
*
Your answer
Optional
Tshirt for children $10
(please list name and size)
Your answer
How will you Donate?
Donations are used to cover the event and to raise funds to pay for mental health services in children and youth.
*
Cash App
PayPal
Venmo
Contact me for payment
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Behind A Smile.
Report Abuse
Forms