The 24th Annual

Thad & Alice Eure Walk for Hope-10am
& 4th Annual 10K Run For Hope-8am

Sunday October 14, 2012 - Raleigh, NC

Participants collect or contribute at least $60 per person ($30 for full time students)
Special Family Pack available ($150 for 5 people) Contributions can be online or brought on walk day.

All the information you enter into this page will be kept confidential by The Foundation of Hope.

*RUNNERS NOTE*
Online registration for the Run for Hope will close at midnight Friday, October 12
Onsite registration will open at 7 am on Sunday, October 14

I want to register as an individual.
I want to register my family.
I want to join an existing team or family.
I want to create a new team.

	I’ll be walking I’ll be running
First Name:
Last Name:
Middle Name:
Username:		You will use this Username and Password to log into this site to send e-mails and check on your contribution progress.
Password:
Address Line 1:
Address Line 2:
City:
State:
Zipcode:
Home Phone:
Work Phone:
Cell Phone:
Email Address:
[Original] Walker Code:		This is the code you will give out to your friends & family so that they can make contributions to you. Make it short and easy to remember. (Again, feel free to use your name.)
T-Shirt Size:
	Check here if you want a Collection Envelope sent to you.	If your donations are being made online you don’t need a collection envelope.
	Checking this box indicates your agreement to the statement below: (must be 18 years of age or older to register or have permission of parent or guardian) In consideration of being permitted to participate or any minor child accompanying him/her in The Walk For Hope, the undersigned for himself, heirs and personal representatives hereby releases, waives and discharges The Foundation of Hope, The Angus Barn LLC, their officers, shareholders, employees and agents from any and all loss of damage, and any claims or demands, on account of injury to the person or property of the undersigned or resulting in the death of the undersigned which may occur as a result of competing, participating in or working at The Walk For Hope or any activities in connection therewith and indemnifies from any loss, liability or cost they may incur due to the participation of the undersigned in The Walk For Hope.

9401 Glenwood Avenue / Raleigh, NC 27617 | (919) 781-9255 | Fax: (919) 781-9621 | walkforhope@walkforhope.com

© Copyright 2011 Foundation of Hope. All rights reserved.
Financial information about this 501(c)3 organization and a copy of its license are available from the State Charitable Solicitation Licensing Section at 1-888-830-4989. The license is not an endorse-ment by the State.