All proceeds from the MH4H Color Blast 5K benefit the ministry of Many Hands for Haiti.

Please fill out the information below. If you have any questions regarding your online registration, please contact us directly at (641) 629-1243 or e-mail us at info@mh4h.org.

Each pre-registered participant will receive a T-shirt to wear during the race. After September 11th, T-shirts are not guaranteed, but will be given as supplies last. (Sizes available in S, M, L, XL, 2XL, 3XL). Please provide your T-Shirt size in the comment box located below the registration section of this form.

Click here to print race details.

Please read the following waivers and agreements carefully. They include releases of liability and waiver of legal rights, and deprive you of the ability to sue certain parties. By agreeing electronically, you acknowledge that you have both read and understood all text presented to you as part of the registration process.

Please Complete All Information

Registration | $45
x $ 45
Child (12 & under) | w/Adult registration: $15 Each
x $ 15
Race Day Registration | $55 Each
x $ 55

Total payment amount:   $0.00  (U.S. Currency)

Please use the comments box below for the following:
  • To provide your T-Shirt size.

  • If you are registering more than one individual, provide the name, age, gender and contact information for each participant.

500 characters left

Please Choose One of These Payment Options

Credit Card & Check/Debit Card
Bank Account Transfer (ACH)
 
CVV2
Visa Mastercard Discover American Express
 Yes! I wish 100% of my registration to go to Many Hands for Haiti. I would like to pay the 3% processing fee costs associated with my transaction.
Account Number
Routing Number
 Yes! I wish 100% of my registration to go to Many Hands for Haiti. I would like to pay the 1% processing fee costs associated with my transaction.
* All payments provided to Many Hands for Haiti comply with U.S. laws and regulations.

Please Enter Your Contact Information Below

First Name *
Last Name *
( ) -
Fields marked with * are required to complete your payment.



EFT corporation
www.mh4h.org
© Copyright 2017
Many Hands for Haiti
All Rights Reserved