Harvest Walk Online Registration

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Ages	Price
2 and under	$0.00
3 - 12	$25.00

Registrant #1

Who are you registering? *

First Name *

Last Name *

Email Address *

Confirm Email *

Create Password *

This will be the password for your GiveSignup account.

Confirm Password *

Date of Birth *

Format: mm/dd/yyyy

Used for age group calculations

Gender

Male Female

Non-Binary Prefer Not to Say

Phone *

Valid formats include: 000-000-0000 or 0000000000

Street Address *

Country *

Zip Code *

City *

State *

Choose Your Event(s) *

Walker

$30.00 + $2.80 SignUp Fee

($0: Ages 0 - 2)

($25: Ages 3 - 12)

(Group Pricing)

Registration does not include a T-Shirt. Shirts are $5 extra. You will be prompted to select a T-Shirt during registration.

Participants (ages 3 & up) receive free admission to Mapleside's Pumpkin Village on event day. Ages 2 & under walk and enter Pumpkin Village for free.

Kidney Patient

$0.00

(Group Pricing)

Patients affected by Chronic Kidney Disease or Kidney Failure WALK free (shirt is not included). A shirt can be purchased during registration.

CDC Employee

$0.00

(Group Pricing)

Must be a Centers for Dialysis Care (CDC) Employee. Only one registration per employee. Registration is cross-referenced with CDC to verify employment.

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Harvest Walk

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Age Based Discounts for Walker

Registrant #1

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Walk Team Pricing

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Age Based Discounts for Walker

Registrant #1

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Choose Your Event(s) *

Walk Team Pricing