Register for the 5K Run/Walk for Children's Hospital Boston

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

By filling out the form below, you agree to pay the $5 registration fee from your TechCash account. The proceeds go to benefit Children's Hospital Boston. $5 will be deducted from your TechCash in a few days.

Your privacy is very important to us - we will never use this information for anything else, and your form responses will be sent over an encrypted connection.

Thank you.

Kerberos ID / Athena Username (do not include "@mit.edu") *

e.g. jdoe

MIT Student ID Number *

e.g. 123456789

Full name *

e.g. John Doe

Extra Raffle Tickets *

Each additional one costs $2. If you purchase n extra tickets, you will be charged $(5+2n) to your account.

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms