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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
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
Military personnel visit Trenton Habitat build
