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Atlanta Walkathon Registration
"
*
" indicates required fields
Registration
Name
*
First
Last
Email
*
Phone
*
Event Reminders
Receive reminders about this event
Number of Adults ($20)
One Adult
Two Adults
Three Adults
Four Adults
Five Adults
Number of Students/Kids ($10)
One Student
Two Students
Three Students
Four Students
Five Students
Family Registration ($50)
Family of 3
Family of 4
Family of 5
Family of 6
Select number of members in your family
Adult T-Shirt Sizes
T-shirts will be available to order until September 15. A limited number will be available at the event on first come basis.
Small
0
1
2
3
4
5
6
7
8
9
10
Medium
0
1
2
3
4
5
6
7
8
9
10
Large
0
1
2
3
4
5
6
7
8
9
10
XL
0
1
2
3
4
5
6
7
8
9
10
Total T-Shirts Selected:
0
Make an Additional Donation?
*
Yes
No
Atlanta Walkathon Donation Amount
*
Payment Details
Total
Pay Now or Later?
Pay Now
Pay Later
Pay later, at the venue on the day of the event.
Payment Method (Select Credit Card or PayPal Checkout)
*
PayPal Checkout
Credit Card
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Expiration Date
Security Code
Cardholder Name
