Building Leaders One Step at a Time Application

Attendance(Required)

I want to participate in the (select one option):(Required)

1-mile walk

3-mile hike

Donation Amount(Required)

$25

$50

$100

Custom Amount

Please enter a number greater than or equal to 25.

Custom Amount

Please enter a number greater than or equal to 1.

In-person attendees will receive a long-sleeve “Building Leaders One Step at a Time” shirt with your donation of $25.00 or more, as well as a surprise gift with donations of $50.00 or more.

Register by August 27, 2023 to secure a “Building Leaders One Step at a Time” shirt (after this date, we cannot guarantee availability of supplies and size preference).

Receive a long-sleeve “Building Leaders One Step at a Time” shirt with your donation of $50.00 or more.

Register by August 27, 2023 to secure a “Building Leaders One Step at a Time” shirt (after this date, we cannot guarantee availability of supplies and size preference).

Size Preference (select one option)(Required)

All shirts are unisex.

Donation Total

Price: $0.00

Contact Information

Name

First Last

Shipping Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email

Phone

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Total

Comments

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