PHEN Walk 2015 Registration

(No entry fee is required)

PHEN Walk 2015 is an online event which allows for everyone to participate. To voice your support for the Walk's "objectives" and "call to action" please join the Walk by registering here:


( * denotes that this information is required. Your information will not be shared by PHEN)
First Name*
Last Name*
Email *
Telephone*
Address*
City*
State*, Zip*
Prostate Cancer survivor?
Yes     No
Relationship to a survivor
Spouse   Son   Daughter   Relative   Friend   None  
I am walking in honor of:
Name: City: State:
I am walking in memory of:
Name: City: State:

If you were recruited by an individual to join the virtual walk please provide this information for the person that recruited you.

Recruiter First Name
Recruiter Last Name
Recruiter City, State

PHEN WALK 2015 COMPETITION You are encouraged to join the PHEN Walk 2015 competition for fun, excitement and prizes, and to further support the objectives and call-to-action. The competition is based on total miles earned. This is how it works:

1) You will automatically earn 5 miles when you register for PHEN Walk 2015. There is no financial contribution required to receive these miles.

2) You can make a contribution to earn additional miles:
You have the option to make a contribution to earn additional miles. You will earn 1 mile for each dollar contributed (Example: 5 miles for $5, 35 miles for $35, 100 miles for $100 dollars, etc....). PHEN is a 501c3 organization. All contributions are tax deductible.

* I pledge to contribute $ You will receive an email confirmation and instructions on how to make this contribution. Receive a free PHEN Walk 2015 T-shirt when you make a contribution of $35 or more. Check your size XL  XXL

3) You can recruit others to join PHEN Walk 2015 and earn more miles:
You will earn 5 miles for each person you recruit (your 1st level recruits) plus the miles earned from their contributions. You will also earn miles credited to anyone recruited by them (your 2nd level recruits).

4) YOU CAN BE A WINNER! The individual competition is based on the total number of miles earned.
Your total miles earned = Your miles (1 and 2 above) + Your 1st level recruits' miles + Your 2nd level recruits' miles (3 above). A PHEN Walk Leader-board will be posted highlighting the national competition leaders.

5) Prizes, Honors and Recognitions
The top finishers in the PHEN Walk 2015 competition will be recognized and honored at PHEN's Annual Summit in Washington, DC on September 18, 2015. Each will receive a free trip to the summit. PHEN Walk 2015 participants will be recognized at PHEN's Father's Day Rally and Educational Symposium events which will be held within cities nationwide from April through June. Other recognitions and awards will be announced throughout the competition.

You are welcome to provide your comments/feedback about the walk:

Thank you for participating in PHEN Walk 2015. We appreciate your support of our objectives and advocacy platform, and we wish you much fun and success in the competition.



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