Hike For Healing

Enrollment Form

I plan to participate in the "Hike For Healing" along Maroon Lake Scenic Trail to benefit the Children's Bereavement Center Miami (CBC) on Friday, July 16th at 10:00 AM.

The CBC will acknowledge all donations on your behalf and send a list of your sponsors with your final tally.

Sign Up Today!

* required

First Name(s): * Family/Last Name: *
How Many Hiking: * Email Address: *
Address: *
City: * State: * --United States-- Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming --Canada-- Alberta British Columbia Manitoba New Brunswick Newfoundland North West Territory Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory Not Applicable Zip Code: *

To Earn 6 Community Service Hours, please include the following:

Student Name:
Principal/Head of School:
School Name:
School Address:
School City: School State: School Zip:

Enter the letters shown above:*

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No individual cars are allowed in Maroon Bells. Take the "Maroon Bells" bus from Aspen Highlands Village (0115 Boomerang Road, Aspen, CO 81611) to Maroon Bells and meet at Maroon Lake Scenic Trail at 10:00 a.m. Bus tickets will be provided to you upon arrival, so please pre-register for the hike. Free parking is available in the garage at Aspen Highlands Village.

Reminders...how to help:

• Ask friends, family & colleagues to sponsor your hike with a donation (all donations are welcome!)
• Not a hiker? Sponsor a hiker or join the hikers after the hike for the picnic!
• Have someone hike in your place if you can't make it there!
• Set a goal of $1,000 or greater and we'll track it for you!
• Email or Facebook your friends and family.
• Get everyone on board!

Every $1,000 helps to sponsor a kid for one year at the CBC; every $25,000 sponsors a CBC Group!

Sponsored by

Business Office
7600 S. Red Road, Suite 307
South Miami, FL 33143
Phone: 305.668.4902 - Fax: 305.669.9110

The Children’s Bereavement Center (CBC) is a 501(c)(3) non-profit organization (#SC-10400) and contributions are tax-deductible under IRS regulations.  CBC receives 100% of each contribution.  As per IRS reporting requirements, no goods or services were received in return for this contribution.
A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE (800-435-7352) WITHIN THE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE.