29th Annual 5K for Health Sponsorships

Individual or Company (Required)

Please type name as it should be listed in marketing materials and signage.

I would like to add the following number of 5K registrations at $40 per person.

Registration fee(s) will be added your total invoice. Additional information will be sent to your company contact regarding 5K registration.

I would like a complimentary booth at the 5K for Health Block Party and Health Fair sponsored by Belton Regional Medical Center.

For $350 Gold Sponsors and higher

I would like a complimentary t-shirt in the following size:

For $350 Gold Sponsors and higher.

I would like to donate the following raffle prize(s):

The drawing will be Saturday, May 6, 2023. Please date certificates accordingly.

Credit Card Information

Cardholder Name (Required)

Credit Card # (Required)

Expiration Date (Required)

Security Code (Required)

cardholders
Your security code is the 3-digit code at the end of the signature field on your card's back.

Cover the fee associated with this online transaction?

Sure, I will pay an additional {transaction_fee} so my entire donation goes to underserved children in Cass County!

Cover the fee associated with this online transaction?

Your total payment will be

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged

Yes, I would like to be a part of the 29th Annual 5K for Health!