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Fill out the forms below and continue to the next page to search and select a team that you would like to join.
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First name*
Last name*
Email address*
Address 1*
We need your address to send incentives such as T-shirts, gift cards, etc.
Address 2
ZIP code*

Phone number
Phone number should begin with area code and you may type 000-111-2222, or without dashes 0001112222.
This will be used to create your fundraising page URL.
• Your username will be used for your Fundraising Page link.
• Choose a username you'll be happy with for the long term. If you change your username after you've shared your fundraising page link, the link won't work, you'll need to send everyone the new link.
• Usernames are not transferable and you can't claim a username someone else is already using.
• Usernames can only contain alphanumeric characters (A-Z, 0-9).
• Usernames must be at least 5 characters long and can't contain generic terms or extensions (ex: .com, .net).
6 characters minimum.
Please tell us why you walk
Birth Defects
Healthy Moms And Babies

My T-shirt size