Matthews Walk-a-thon 2025
Registration Form
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Registration
Walker Information
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Planned Number of Miles (Only Day of Event Miles Qualify)
*
Numeric Characters Only Please
Charity of Choice
*
Please Select
Spread Evenly Amongst All Charities
A Room to Heal (Binghamton)
Chenango Child Advocacy Center (Norwich)
Children’s Home of Wyoming Conference (Binghamton)
Helping Celebrate Abilities (Binghamton)
GiGi's Playhouse (Binghamton)
Guthrie Hospice Vestal's Camp Hope for Kids (Binghamton)
Mom's House (Binghamton)
St. Joseph's Center (Scranton, PA)
Things of My Very Own (Schenectady)
Upstate Golisano Hospital (Syracuse)
Joseph's House (Syracuse)
ED23 Foundation (Syracuse)
Child Advocacy Center of Greater Rochester (Rochester)
Are there additional walkers in your party? If so how many?
Please Select
1
2
3
4
Additional Walker #1
*
First Name
Last Name
Additional Walker #1 Planned Number of Miles
*
Additional Walker #2
*
First Name
Last Name
Additional Walker #2 Planned Number of Miles
*
Additional Walker #3
*
First Name
Last Name
Additional Walker #3 Planned Number of Miles
*
Additional Walker #4
*
First Name
Last Name
Additional Walker #4 Planned Number of Miles
*
Donation
Charity of Choice
*
Please Select
Spread Evenly Amongst All Charities
A Room to Heal (Binghamton)
Chenango Child Advocacy Center (Norwich)
Children’s Home of Wyoming Conference (Binghamton)
Helping Celebrate Abilities (Binghamton)
GiGi's Playhouse (Binghamton)
Guthrie Hospice Vestal's Camp Hope for Kids (Binghamton)
Mom's House (Binghamton)
St. Joseph's Center (Scranton, PA)
Things of My Very Own (Schenectady)
Upstate Golisano Hospital (Syracuse)
Joseph's House (Syracuse)
ED23 Foundation (Syracuse)
Child Advocacy Center of Greater Rochester (Rochester)
Donation Amount
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