Paper Registration

Print this page and mail form along with check to address below:

Walk & Ride from Hunger

Sunday, April 29, 2018

Registration Type*
o Individual – $25
o Team of 5 – $100 (Save $25)

Name*

First_________________________ Last____________________________

Address*______________________________________________________

City ___________________State______ Zip Code_____________

Email* _________________________________

Phone*__________________________________

*Denotes Required

T-Shirt Size

Please list the number of t-shirts desired for each size: One shirt per team member

Small______ Medium_______ Large ______XL________ XXL_________

Please make Checks payable to: CVCCS

Send form and check to: CVCCS
2420 Gehman Lane
Lancaster, PA 17602