SCA Fun Walk Sign Up 2023

Required

Please Note: If you get an error when submitting this form, please disable auto fill in your browser and try again or try a different browser. Email news@shalomca.com if you have any issues. Thank you.

Parent Email required

Child's Namerequired

First Name

Last Name

Child's GraderequiredThe early bird price is $20. The price will increase to $25 after Wednesday, April 12.

PreK ($20.00)

K ($20.00)

1st ($20.00)

2nd ($20.00)

The early bird price is $20. The price will increase to $25 after Wednesday, April 12.

Shirt Size (if ordering by Wednesday, April 12th)required

YS (size 6-8)

YM (size 10-12)

YL (size 14-16)

Payment Information

Please select a payment typerequired

Card

Billing Addressrequired

Address

City

State/Province

Country

Zip/Postal Code

Cardholder Namerequired

First

Last

Card Numberrequired

Expirationrequired

CVV Numberrequired