RUN 4 PURPLE Registration

When you register, your credit card will be charged a non refundable registration fee based on the distance you are running. The registration fee signals your intent to reach your minimum fundraising commitment in support of Hope Time Cure Epilepsy Foundation. Register now using the form below.

Are you registering as an individual or family?

  • # of Family Members (Including You): *
  • Team Name: *
    • Who (if anyone) recruited you?:

  • Your Information

    • Last Name: *
    • Age: *
    • First Name: *
    • Phone: *
  • Family Members

    • Runner 2: *
    • Runner 3: *
    • Runner 4: *
    • Runner 5: *
    • Runner 6: *
    • Runner 7: *
    • Runner 8: *
    • Runner 9: *
    • Runner 10: *
    • Address #2:
    • City: *

    Shipping Information for Runner Kit

    • Address: *
    • Country: *
    • Race Information

    • What distance do you plan to run?: *
    • Expected Completion Time:
    • Why are you running?: *
    • Is there someone special you're running for?:
    • Donation Goal (minimum $250): *
    • Login Information

    • Email Address: *
    • Password: *
    • Re-Type Password: *
    • Billing Information

    • Total Due: $36.00
    • Card Number: *
    • Expiration: *
    • CVV2 Code: *
    • Pledge Agreement

    • I accept the above Pledge Agreement.