Use the form below to register for this year’s Kids and Cancer Benefit Run. If you have already registered but have not paid, please click here to complete your registration.

If you have already registered and want to order a 2020 lighter ($30), please email

Participant Name (driver)

First Name*
Last Name*

Rider (optional)

First Name
Last Name


Street Address Line 1
Street Address Line 2
City State/Province
Postal/Zip Code

Phone Number

Area Code and Number

Shirt Sizes

Driver T-Shirt Size

RiderT-Shirt Size (if applicable)

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