2026 Long Island Walk Registration

First Name

Last Name

Email

Phone

Address 1

Address 2

City

State/Province

Zip

Walk Information

Name of the team you are supporting:

Click which one applies:

This is my team (I have or plan to set up a fundraising page)
I am a supporter of this team
I am not affiliated with a team

Let us know if you would like to be contacted about any of the following (we will use the contact information provided above):

Sponsorship opportunities
Seeking in-kind donations
Volunteering at the event

Please provide information about who you are registering for the walk. We would like to provide as many people as possible with a custom walk t-shirt. Please consider supporting the event by creating a walk team, supporting a team or making a donation. Donations will also be accepted at the event. T-shirts not reserved before August 10th will be available on a first come first serve basis.

If you do not wish to make a donation at this time, please select "Other" and enter "0".

Suggested Donation Amounts *

$25
$50
$100
Other

Registrant Information

Names of adults 18+ you are registering

Number of teens (13-17) you are registering

Number of kids (12 and under) you are registering

Shirt size totals (for everyone you are registering here, including yourself)

2T

3T

4T

5T

YS

YM

YL (AXS)

AS

AM

AL

XL

2XL

3XL

Thank you for your support! We look forward to seeing you at the Long Island Walk for the Cure!

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2026 Long Island Walk Registration

Walk Information