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Stomping out the Violence Team/Group Participant Sign Up

Stomping Out The Violence

Stomping Out The Violence Team/Walker Sign Up Form

Date: Friday, March 15th 2019 • 6pm – 10pm
Where: Space Coast Convention Center, 301 Tucker Lane, Cocoa, FL (near the I95 and 520 Interchange) MAP

Be A Hero – Team/Walker Sign Up Form • SOTV 2019

It is our pleasure to invite you to play an active role in ending family violence in your community by partnering with Serene Harbor as we host “Stomping Out The Violence.”

To get started, fill out the form below and proceed to PayPal to make your contribution. Or, download a printable form.

AWARDS: (purple) SHOE Trophy’s will be presented to team with MOST PRE-REGISTERED walkers, highest TEAM funds raised, and highest INDIVIDUAL funds raised! TEAMWORK MAKES THE DREAM WORK!
**a marketing graphic will be provided to assist in your FUNdraising efforts.

Please use the following hashtags for social media promotions:


    $45 per member, (includes a delicious Homestyle Favorites Buffet)

    High heels will be provided to all men the day of the walk, 100 pairs of shoes available. Purple shoe covers also available for those who can’t wear heels. (Half sizes will be rounded to next largest size. Sizes 9 – 17 available.)

  • (Award presented to team with most pre-registered walkers)
  • The name of the Team Captain.
    (If registering as individual, this is your name)

  • Please list all team members with their shoe size. To add additional members, click the + icon to the right of the box in the first row.
    (If signing up as an individual, please list your name and shoe size in the first row)

    Team Member Name Male Shoe Size  
    Add a new row

  • $45 for each team member

    Price: $45.00

  • $0.00