Heels & Wheels Register

Home
About Us
Programs
Events & News
Resources
Community
Get Involved
Contact Us

Home
About Us
Programs
Events & News
Resources
Community
Get Involved
Contact Us

5 K Walk/Run, 1 K Walk/Roll Registration or Lidz on Kidz Fun Run
Walter Bean Trail at Bingemans, Kitchener ON

In recognition of Brain Injury Awareness Month and in support of the Brain Injury Association of Waterloo-Wellington we invite you to WALK, ROLL or RUN.

Everyone is welcome and participants in wheelchairs or using walkers are encouraged to participate.

Register to Participate On-line

* Indicates required field

Name *

First

Last

Email *

Street Address *

City, Province *

Postal Code *

Gender *

Female Male

Please choose your T-Shirt Size *

I am registering with my sponsoring company *

Yes No

If registering with your sponsoring company please state Company Name *

I am participating in the: *

5 K Run 5 K Walk 1 K Walk/Roll Kids Fun Run

Choose One *

I am planning to raise pledges I will pay for my entrance fee and not raise pledges

My fundraising goal is: *

May we publish your name, fundraising goal and amounts raised on our pledge page? *

Yes No

Your privacy is important to us. May we email you with updates and other special events during the year. *

Yes No

Submit

Powered by

Create your own unique website with customizable templates.

Home
About Us
Programs
Events & News
Resources
Community
Get Involved
Contact Us

5 K Walk/Run, 1 K Walk/Roll Registration or Lidz on Kidz Fun RunWalter Bean Trail at Bingemans, Kitchener ON

Register to Participate On-line

5 K Walk/Run, 1 K Walk/Roll Registration or Lidz on Kidz Fun Run
Walter Bean Trail at Bingemans, Kitchener ON