Register for the Day One Challenge 2018 BACK TO EVENT PAGE 1 Your Info2 Participants Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell Phone*(in case we need to reach you during the event)Email* (for confirmation and event instructions)Adult T-Shirt SizeSMLXLXXL Adult Participants ($15)*1 Adult2 Adults3 Adults4 Adults5 Adults6 Adults7 Adults8 Adults9 Adults10 AdultsYouth/Child Participants ($15)*01 Child/Youth2 Child/Youth3 Child/Youth4 Child/Youth5 Child/Youth6 Child/Youth7 Child/Youth8 Child/Youth9 Child/Youth10 Child/YouthParticipants Under 18 Years OldTotal Registration Fee $0.00 You will be redirected to PayPal after submitting this form to process your registration fee.For parties of 2 or more, register additional participants by listing them below:Additional Participant InformationNameAdult Shirt Size (S,M,L,XL,XXL)Age (if under 18) List any special needs (ADA accessibility, allergies, etc.):Do you attend a church in the area? If so, please list the name of the church:How did you hear about this event?*Word of MouthPhiladelphia Reentry Coalition Member OrganizationRedemption Housing’s EmailThrough my ChurchSign up for Redemption Housing's mailing list? Yes! PhoneThis field is for validation purposes and should be left unchanged.