Boston Prostate Cancer Walk 2008 Registration Form
(Please print this form and send to us with your donation)

  • I am happy to participate and join prostate cancer survivors, their families, and their friends in the Boston Prostate Cancer Walk on Father's Day, June 15, 2008. Registration 9:00-11:00 AM. Pre walk Ceremony 11:00 AM. Walk at 11:30 AM.
  • Enclosed is my registration fee of $20 which includes a T-Shirt. Adult T shirts will be available on the day of the event only. All entries must be received by June 6, 2008 to guarantee a T-shirt. After June 6th and the day of event, registration fee will be $25.

    Number of walkers _____ x $20.00 each (after June 6th x$25.00).
    Total enclosed $________
    Name:____________________________ T-shirt size:
    Address:__________________________ XXL  XL  L  M
    Name:____________________________ T-shirt size:
    Address:__________________________ XXL  XL  L  M
    Name:____________________________ T-shirt size:
    Address:__________________________ XXL  XL  L  M

    Individual Sponsorship Opportunities.
    DEADLINE for Brochure is May 3, other deadlines are May 31, 2008.

    $1000 - Gold Sponsors: Your name* on T-shirt, Walk Program, Brochure & website.
    Click here to view last year's T-Shirt.

    $500 - Silver Sponsors: Your name* on Program, Brochure & website.

    $250 - Bronze Sponsors: Your name* on Program and Walk Brochure.

    *Names may be "In Honor Of" or "In Memory Of".


  • I am unable to participate in the Boston Prostate Cancer Walk. Enclosed is my tax exempt contribution of $25_____ $50_____ $100_____ Other $_____ for prostate cancer research.
  • Please make checks payable to (and return to):
    Boston Prostate Cancer Walk
    69 Farragut Avenue, Somerville, MA 02144-1708

  • I would like to volunteer. Volunteer opportunities are available beginning in April and on the day of the walk. Please contact Stan Klein at 617-625-4875 or email: klein@rcn.com.
  • Thank you for your support.