Brookline High School Innovation Fund
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Join the 5K for Innovation at BHS!
Registrant Name
*
First Name
Last Name
Email
*
Verify Email
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Number
*
Number of Registrants (up to 10)
Registrant 2
First Name
Last Name
Registrant 3
First Name
Last Name
Registrant 4
First Name
Last Name
Registrant 5
First Name
Last Name
Registrant 6
First Name
Last Name
Registrant 7
First Name
Last Name
Registrant 8
First Name
Last Name
Registrant 9
First Name
Last Name
Registrant 10
First Name
Last Name
Waiver
*
By checking this box, you agree electronically that you have read, understood and agreed to liability waiver and privacy policies. You are 18 or older, or have the authority to register these participants and agree to the waiver(s) for them as their parent or legal guardian. By registering a child under 13, you are consenting to the collection of the child's information that you are providing for the purposes of registration.
Yes!
Amount
*
$10
-
1 - Registrant (suggested)
$20
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2 - Registrants (suggested)
$25
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Team, up to 10 people (suggested)
$0
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Free for BHS Faculty/Staff/Students
$
Please direct friends and family to sponsor you at this link.
https://www.paypal.com/donate/?campaign_id=5TFFWEFEA6JHA
Add 3% to my total amount to help cover the payment processing fees