Registration

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Registration Type

Please select your preferred Run~Walk registration type.

Search for a team to join.

Team Name
(Contains)
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Captain's First Name
(Contains)
Captain's Last Name
(Contains)

You must search for a team to join. You must enter something in at least one of the 3 fields above.

* Please select a team to join. Use this search to find a team that you might want to join. When you see one you like, click on it! * No teams matched your criteria. You must search again with new criteria to find a team to join.

	Team Name	Captain Name

* Select your team type

	Team Type	Fee	Description	Full Description

Create Your Team

You will become the team captain and will be able to recruit others to join your team.

* Denotes required information.

* Team Name
Team Description
Team Fundraising Goal
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Corporate Team Affiliation

If you are affiliated with a corporate team, select the corporate team from list below

Permission Questions Allow the general public to search my team and view fundraising results. I give permission for my team to appear on the top team scoreboard.

Additional Questions

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Contact Information

* Denotes required information.

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OR register by completing information below.

Name

Title
* First Name
* Last Name

Address

Home Work
Enter address manually
* Country
* Address
Apartment
* City
* Province
* State
* State
* Province/State
* Postal Code/Zip Code
Postal code or zip code is invalid.
Phone number ( )
Area code is invalid. Phone number is invalid.
* Email Address
Email address is invalid.

Emergency Contact

Please provide a contact in case of emergency.
Full Name
Phone Number 1 ( )
Area code is invalid. Phone number is invalid.

Account Information

Your account username and password will allow you to login following registration.
* Username
This username already exists.
* Password
* Confirm Password
The passwords do not match.

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Would you like to buy some merchandise?

Please help %EventName% by purchasing from our selection of fantastic merchandise.

View All

Shipping Information Shipping address is the same as my registration address

* Denotes required information.
Home Work
* Country
Shipping Name
* Address
Apartment
* City
* Province
* State
* State
* Province/State
* Postal Code/Zip Code
Postal code or zip code is invalid.

Price:

Quantity:

Items in your cart

Registration Fee

Price:

Donation Amount

Total:

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Payment Information

* Denotes required information.

Payment

Did you know that by covering the processing fee, Emerson Hospital will be able to help more people?
I want to cover the fees ( %ProcessingFee% )

Your credit card will be billed for the following amount:
Each participant agrees to raise %FundraisingMinimum% for this event. You have authorized Emerson Hospital to charge your credit card in the event that the minimum fundraising amount is not met.

At this time, your credit card will not be charged.
Each participant agrees to raise %FundraisingMinimum% for this event. You have authorized Emerson Hospital to charge your credit card in the event that the minimum fundraising amount is not met.

Your credit card will be billed now for the following amount:

Registration Fee:
Donation:
Coupon:

Processing Fee:

Total:

Pay using PayPal
Pay using a Credit Card
* Credit Card Type:
* Credit Card Number:
The credit card number is invalid.
* Card Security Number: (?)
* Card Holder Name:
* Expiry Month:
* Expiry Year:
Valid From Month:
Required if Valid from Year is set
Valid From Year:
Required if Valid from Month is set

Issue Number:
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Ready to Register

Ready to Pay to Register

Ready to sign up? Select "Register me"!

Name:

Address:

Email:

Credit Card:

***-

Credit Card Expiry Date:

Card Holder Name:

Total:

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* I accept the waiver. Please accept the waiver.

* I accept the waiver on behalf of the other participants I have registered. Please accept the waiver.

* Sorry, username %loginName% is in use. Please try another one.

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* Sorry, page alias %pageAlias% is in use. Please try another one. Sorry, team page alias %pageAlias% is in use. Please try another one.

Sorry - team %teamName% is full.

Sorry - start time %starttime% is full.

Please switch to the payment window to process your payment.

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If you are using IE (Internet Explorer from Microsoft), do not use the option near the top of the page (under the toolbars where it says "Pop-up blocked. To see ...") to disable the blocker. Instead, use the "Ctrl+Alt" option. That is, close this message window, and try clicking the register button again, but hold down both the "Ctrl" key and the "Alt" key before clicking the button. Keep the "Ctrl" and "Alt" key held down until the paymentwindow appears.
Another option is to try a different payment method.

You are already registered for this event.

Sorry - Coupon %coupon% is no longer valid. Please try again.

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Address Validation

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Location Selection

Participant Waiver

Registration Type

Create Your Team

Contact Information

Please answer the following questions:

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Would you like to buy some merchandise?

Payment Information

Ready to Register

Ready to Pay to Register

Address Validation

Run~Walk Sponsors: