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Registration Form
If you are a human and are seeing this field, please leave it blank.
Fields marked with an
*
are required
First Name
Last Name
Address
Phone
Email
Participating as:
Individual
Group
Group Name
Please list any allergies:
Please list any diet requirements:
Level of Experience: (Please note, that no experience is necessary!))
Do you own steel toe boots?
Yes
No
If no, size needed ?
Ladies T-Shirt Size
Date you would like to participate (June 6-10 or June 19-23):
June 6 (FULL)
June 7 (FULL)
June 8 (FULL)
June 9
June 10 (CANCELLED)
June 19
June 20 (FULL)
June 21
June 22
June 23 (FULL)
Receipt will be issued to participant above, or list alternative name/address below
Full Name
Address
Registration Fee:
$50.00 (cash or cheque), Registration fee waived if $100 in pledges is raised
Confirm that you are not a bot
*
THANK YOU
to our Sponsors
WHAT'S HAPPENING
at Habitat PEH
Local Habitat working with Mohawks
Handing over the keys to one local family
McDougall Insurance comes through for Habitat for Humanity
A Place to Call Home
International visitors build Habitat homes in Belleville
Habitat gets bank boost
Trenton family receives keys to new Habitat for Humanity home
Lions Club donates $100K to Habitat For Humanity
