Call for Submissions: The Empowerment Project Collection
Save the Date for the On Moonlit Bay: DVSAS Gala!
Note: If you are registering as a member of a sponsor’s team, please do not register here. Contact Karen Burke at or call (360)671-5714.
Team Name (if Applicable):
* First Name:
* Last Name:
* Gender: Male Female
* Age:
* Address:
* City:
* State:
* Zipcode:
* Phone #:
* Email:
T-shirt Size (T-shirts are ONLY available online. Cost is $15, will be charged on next page.): Child S M L XL
I am unable to race but I would like to volunteer for this event: Yes No
* I have downloaded and agree to the waiver: Yes No
* I would like to participate in:: Walk 5K Run 10K Run