Be Brave and Shave

Register now for Be Brave and Shave 2011 and help raise money for our cause! We have had a wonderful time with this event the past couple of years and we look forward to the smiles it will bring this June. Please sign up below to let us know that you'll be participating in the event and give us an amount that you plan to raise. This dollar target gives each of us a goal to gather donations and pledges from friends and family so that we will shave our beautiful heads. These donations will go directly towards helping a child fighting cancer. Be Brave and Shave will be held at Rock Creek Marina on the evening of Friday June 10th. Please email or call with any additional questions. See you there!

2011 BBAS Registration

Please fill in all information shown below, then click 'Submit'.

BBAS participant
First Name: *
Last Name: *
Address Street 1: *
Address Street 2:
City: *
Zip Code: *	(5 digits)
State: *
Contact Information
Daytime Phone:
Evening Phone:
Email: *
Additional info:
How much money are you pledging to raise?:
Security Code: *
Additional notes or comments:	Enter comments here!