Name:
Address: City:
State: Zip Code: Email: Re-enter Email:
Please select: 2 mile walk 5K run
Please select: Indivudual ($30) Bring a Friend ($20) Family ($60) Team ($100)
Team/Family Registration - Only one person needs to register for the entire team/family # number of people on your team/family Free T-Shirts for all pre-registered participants!
Bring contribution to the Walk and Run (NOTE: Cash or checks made out to "Can Do", at this time we are unable to accept credit cards.)
Mail contribution to Can Do Scholarship Fund c/o Community Foundation of Central Illinois 331 Fulton Street, Suite 310 Peoria, IL 61602
Contribute ONLINE. (We encourage you to contribute online after you submit your registration form by clicking "donate now" on the next page.)
Contribution Amount: $ How did you hear about the Can Do Walk & 5K?
