Register

Thank you for your interest in CIMBY Get Your Family Off The Couch Campaign! We're getting kids, families, and our entire community involved in an awesome fundraiser so every neighborhood kid can experience the magic of camp this summer.

Choose how to get involved:

1. 4th-7th grade boys raise a minimum of $250 to participate in the CIMBY Jr. Boys 2k Run
2. Families work together to raise a minimum of $360 to compete in an exciting Cross Town Scavenger Hunt that will take place in mystery locations all over town!

Register below for the CIMBY Jr. Boys 2K Run and/or the Family Cross Town Scavenger Hunt.
Registration Information
First Name: *
Last Name: *
Address: *
City: *
State: *
Zip / Postal: *
Country: *
Phone Number: *
Additional Phone Number:
Email Address: *
Date of Birth: *
Jersey Size: *
Emergency Contact Information
Emergency Contact: *
Emergency Phone: *
Fundraising Commitment




Account Information
Custom URL:* Create your custom url to use for your personal fundraising page (This will also be your account username)
https://www.rayze.it/achiezercimby/
Sign in with Google or choose a password. You will need it to view / edit your personal web page, and see who has sponsored you for this event.
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Password: *
Re-Type Password: *
Payment Details
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Card Number: *
Exp. Month: *
Exp. Year: *
Security Code: *
Additional Information optional
Additional Comments:
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Achiezer Community Resource Center is a non-profit 501c3 organization.