Tiny Footprints 5K and TDD Kid's Fun Run 2022 | Worcester, MA

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Tiny Footprints For Life 5K & TDD Kids Fun Run 2022 Registration Form

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Price Schedule

	Through 07/31/2022	Through 08/31/2022	Final
TFFL Champion			$75
Individual TFFL 5K Entry	$30	$35	$40

Categories *

TFFL Champion - $75.00

Consider giving a little more and being a champion of the TFFL 5K Effort

Individual TFFL 5K Entry - $35.00

FREE Kids' Fun Run (donation encouraged)

Participant Information

Participant Email *

Participant First Name *

Participant Last Name *

Participant Birthdate *

Participant Gender *

Male

Female

Country *

Street Address (w/Apt#) *

City *

State *

Zip Code *

Phone *

Would you like to receive important event text alerts on this number (eg. changes or delays)?

Emergency Contact Name *

Emergency Phone *

Fundraising Team * new fundraising team

Select the size of your free TFFL 5K long sleeve tech shirt *

Remembrances

Are you participating in the TFFL 5K in remembrance of a specific baby or babies who have died? *

Yes

What is your relationship to the baby who has died?

Parent

Grandparent

Sibling

Extended family

Friend, neighbor, or coworker of the family

Please enter the name(s) for the baby or babies that are being remembered

seperate multiple names with a comma

Celebrations

Are you participating in the TFFL 5K in celebration of a specific baby or babies who graduated form the NICU? *

Yes

What is your relationship to the baby who graduate from the NICU?

Parent

Grandparent

Sibling

Extended family

Friend, neighbor, or coworker of the family

I am a NICU Graduate

Please enter the name(s) for the baby or babies that are being celebrated

separate multiple names with commas

Make a Donation

UMass Memorial Health CMC and Neonatal Intensive Care Unit (click here, to learn more about this cause)

Amount $

The UMass Memorial Health Neonatal Intensive Care Unit (NICU) has earned a national reputation for its family-centered care philosophy where families are an important part of their child's team. It is the region's only Level III NICU for high risk obstetrical and neonatal care. Donations are tax deductible since the UMass Memorial Foundation is a 501c(3) organization, W9 tax ID number 04-3108190, and eligible for corporate gift matching programs.

Waiver *

I have read and agreed to the waiver *

Is the participant 18 or older? *

18 or older Under 18

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