Online Registration in 2 simple steps

Step 1: Complete the Registration form. Please be sure to include your phone number.

Step 2: Pay for your Registration(s)

Submit your Registration by clicking “SEND” you will be redirected to the page where you can make your payment.

You must complete both steps for your registration to be complete.

Get your 2024 Kids and Cancer Benefit Run T-Shirt for $10 with pre-registration. T-shirts can be picked up on the day of the event. If you register the day of the event T-shirts are $20 each.

If you have already registered and want to order a 2024 lighter (price available soon), please email kidsandcancerbenefitrun@gmail.com

Step 1: Complete the Registration form

    Participant Name (driver)

    First Name*
    Last Name*

    Rider (optional)

    First Name
    Last Name

    Address

    Email*
    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)