2022 LIHBC Annual Walk-a-Thon Online Application & Donations

2022 LIHBC Walk-a-Thon online application and donation

Sunday, September 18, 2022 The Dive, Kismet

Name

First Last

Phone(Required)

Email(Required)

Enter Email Confirm Email

Address(Required)

Street Address Address Line 2 City State ZIP Code

Types(Required)

Single Walker

Couple Walkers (includes a child up to 12 years old)

Family Walkers (2 Adults & Children)

Single Walker

Name

Age

Male or Female

Couple Walkers & Child

Name(s)

Age

Male or Female

Family Walkers & Children

Name(s)

Age

Male or Female

Sponsor(s)

Sponsor Options

I would like to sponsor the Children & Teens Backpack Stuffers for $50

I would like to sponsor the Dessert for $100

I would like to sponsor Child Entertainment and Prizes for $100

I would like to sponsor the Photographer for $300

I would like to sponsor the BBQ for $300

I would like to sponsor the Band for $300

General Donation

I would like to make a general donation supporting the LIHBC., Inc. Annual Walk-a-Thon.

Total

Name

This field is for validation purposes and should be left unchanged.