2018 Life Academy Walkathon Fundraiser

April 20th | Please fill out this form and click submit.
1. Please fill out your contact information
2. Select the Student you would like to sponsor
3. Select how much you want to sponsor
4. Example: 25 laps * $2 Per Lap = $50

Name

*

Email

*

This address will receive a confirmation email

Phone

*

Student/Staff Name

*

Please select one option.

Ashley, Annabelle Bagga, Jade Bagga, Jasmine Baker, Braxton Beebe, Victoria Benson, David Bond, David Bradshaw, Tyler Chesney, Kent Chesney, Scott Conradi, Chris Conradi, Ross (Teacher) Derryberry, Alex Dupper, Garret Erickson, Harli Erickson, Willow Ferguson, Callie Ferguson, Devin Ferguson, Laney Gibson, Thomas (Pastor) Gullickson, Janet (Teacher) Hannestad, Nevaeh Husky, Kelsi (Teacher) Hutchinson, Levi Hutchinson, Michael Jenks, Eliana Jenks, Lynn (staff) Jenks, Shaleyah Kirkhart, Zoe Leech, Braeden Malcolm, Kaiya Maugham, Tayson McClellan, Megan Metzger, Brooklyn Miller, Sheri (Teacher) Moore, Cameron Moore, Dakotah Moore, Lisa (Staff) Moore, Titus Naranjo, Kya Reimer, Bo Reimer, Wesley Rentie, Holly (Teacher) Riga, Donna (Staff) Sanchez, Daniel Sanchez, Luis (Staff) Sanchez, Melany Sanchez, Rebeca Scott, Alice Strouse, Judy (Staff) Swasey, Colt Turner, Phoenix Walt, Alex Walz, Gabriel Walz, Maiya Ward, Wyatt West, Becky (Staff) West, Derek (Principal) West, Finley White, Elijah Wilcox, Sterling Yeager, Kylie

Payment

Please decide how much per lap you would like to donate and enter the total dollar amount you would like to donate.
Example. John Doe: 25 laps X $2 per lap. Total amount donated would be $50.

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

April 20th

Please fill out this form and click submit.
1. Please fill out your contact information
2. Select the Student you would like to sponsor
3. Select how much you want to sponsor
4. Example: 25 laps * $2 Per Lap = $50

Please Fix the Following

Close