Color Me Blue 2024 REGISTRATION | Puzzle Piece Foundation

Please complete this form to register your group for our 2024 COLOR ME BLUE WALK/RUN.

If you would like to MAIL-IN your Registration Form, CLICK HERE to download the form, print and mail.

Number of adults registering on this form.
Adult registration is $20 per person. Please type the number of adults in the QUANTITY field.

Number of Adults Registering

Price: $20.00

T-shirts and sizes
Each adult will receive one t-shirt. Please indicate sizes and quantities below.

Adult Small

Adult Medium

Adult Large

Adult X-Large

Adult XX-Large

Adult registrants

Please enter the names of all adult registrants below, one name per line:

Number of children registering on this form.
Child registration is $10 per person. Please type the number of children in the QUANTITY field.
PLEASE NOTE: Toddlers may participate for free, but will not receive a t-shirt. If a t-shirt is desired, please enter as a child.

Child participants

Price: $10.00

T-shirts and sizes
Each child will receive one t-shirt. Please indicate sizes and quantities below.

Child small

Child medium

Child large

Child registrants

Please enter the names of all child registrants below, one name per line:

Toddler registrants

Please enter the names of all toddler registrants below, one name per line:

Questions or comments:

Comments

PAYMENT INFORMATION

Please enter the following for the person paying the registration fees. Your payment will be processed securely via Stripe, using your regular credit or debit card!

Name

First Last

Address

Street Address Address Line 2 City State ZIP Code

Please provide a method of contact in case we need to reach you.

Phone

CAPTCHA

Total

Total Due:

Credit Card

Name

This field is for validation purposes and should be left unchanged.