Runner Registration Form


Runner Registration
Please fill out this form completely for each participant. Either print and mail, drop off at office during the week, or submit form online and mail registration fee. Please mail form or fee to First Assembly of God 645 4th Street Pleasant Grove, AL 35127
Runner Information Name Age Gender Male Female Address City State Zip Phone Email Adult T-Shirt sizes: S M L XL XXL Child T-shirt sizes: S(6-8) M(10-12) L(14-16) Amount Enclosed: ($25 per person registration fee) $____________ Make checks payable to First Assembly of God, (for: WFTW) For more information visit www.walkfortheworld.org Form disabled due to past event

Runner Registration