Adult Registration $15 dollars Walk2Win 5K Individual Registration If you are human, leave this field blank. First Name * Last Name * Address City State Zip Code Email Address * Phone * Gender * Female Male Are You A Prostate Cancer Survivor? Yes No Parental Permission If registrant is a child (under 18) a parent or guardian must check this box relieving all sponsors of liability. reCAPTCHA Next: Online Payment Download 2019 Walk 2 Win Registration Form