Chain of Life Challenge

Registration

Tell us who will take on the Chain of Life Challenge*

To register a child alone, sign them up as an adult and check 'Yes, I am a student'.

Adult(s)*

Children*

(18 and under)

Adult

First name*

Last name*

Email*

Email confirmation*

Yes, I am a Chain of Life student/teacher.

Registration is free for Chain of Life teachers and for students.

Disclaimer*

By checking this box, I certify that I have read and understood the disclaimer form and have informed the other adult members of my family.

Location*

What group are you a part of?*

What do you want to do?

Join a team

Form a team

Team*

To form and manage a team, you are asked to create an account.

If you want to modify your team page later, you'll be able to access your page by connecting to your account (login button at the top of the page).

Email*

Password*

Team name*

Team captain*

Fundraising Objective ($)

(Optional)

Briefly explain why you are forming this team.

Add a photo

(Only .jpg and .png formats are accepted and the file must not exceed 2MB.)

Team URL