UCP Seguin

United Cerebral Palsy Seguin Of Greater Chicago Logo

Registration Information

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Last Name

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I am registering (Choose My Team only if you will be paying your entire team's registration fees):

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My Team has the following number of adults ($25 each):

First and Last Names of Adult Team Members:

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My Team has the following number of children 5 and under (Free):

First and Last Names of Child Team Members:

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I would like to cover the payment processing fee.

Donor hereby approves the payment of the charitable donation and/or purchase to United Cerebral Palsy Seguin Of Greater Chicago and in the amount set forth herein.

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