Sign Up

Participate in the 2010 Lung Walk

Please click link below to download & print registration form.

https://acrobat.com/#d=ee4az8MBBFyuDLV-DnsA

Mail registration form to:
ICC Student Accounting
One College Drive
East Peoria, IL 61635

Walker's Registration Fee: $20

Children under 12 years of age are FREE!

Everyone that registers will have a chance to win one of these amazing baskets.

"His" Maui Jim Basket
($350 Value)

"Her" Maui Jim Basket
($350 Value)

($80 Value)

"Night out on the Town" Basket
($80 Value)

"Lets Get Active" Basket
($100 Value)

"Lets Relax" Basket
($70 Value)

($60 Value)

Want a better chance to win? You can purchase more raffle tickets:

$1 for 1
$5 for 6
$10 for 15

Drawing will be held before the walk. Good Luck!!

Registration fee's received before October 8, 2010 will receive a free 2010 Lung Walk t-shirt. Registration fee's received after October 8,2010 will not receive a t-shirt. Make sure to register early to ensure a t-shirt. Children under the age of 12 who register for free will not receive a t-shirt.

You can pick up your t-shirt and receipt the day of the walk at the registration table from 8:00am to 9:25am.

All money collected will be donated to The American Lung Association.

All donations are fully tax deductable.*

*Must be 18 years of age to register or have a parent/guardian permission.