Anuraag Foundation's Walk/Run Registration Form
Please support the cause of mentally challenged children of poor families in India by participating in Anuraag Foundations' Walk/Run

Time: 5K Walk/Run for all ages from 8:00am - 11:00am

Date: Sunday, October 02, 2016

Where: Church Street Park,
5800 Cricket Pitch Way,
Morrisville, 27560

Registration: Recommended by September 30th

Entry Fees: Free... Donations welcome!

Please RSVP by providing the following details (If you are planning to register more than one person, please submit the form for each person)

Questions: Please call 919-802-0336 or email: anuraagus@gmail.com

Anuraag Fall walk/run
Enter Your Name
If you are planning to register more than one person, please submit the form for each person
Your answer
Enter your email
A representative of Anuraag Foundation will contact you
Your answer
Enter your Phone number
A representative of Anuraag Foundation will contact you
Your answer
Employer
Please provide the name of your employer - some corporates donate to Anuraag, if their employees volunteer for Anuraag ...
Your answer
Male/Female
Choose from the drop down list
Donation Amount (Optional)
It can be paid at the event or online at this website (PayPal at top right corner of this page)
Your answer
Release
I, intending to be legally bound for myself, my heirs, my executors and my administrators, do here by release and discharge Anuraag Foundation, the organizers, and all sponsors, and there respective officers, directors, and agents and employees from any and all liabilities for illness, injuries and damages I may suffer arising out of, en route to or from or resulting from my participation in the event. I have read the release carefully and I sign it of my own free will.
Required
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