Register

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

I understand that by participating in Shoot4chai , I am committing to raise a minimum of $1,800. If for any reason I am unable to meet the required minimum of $1,800 by October 31, 2026, the difference will be charged to my credit card on file.













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/shoot4chai/
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.
Sign in with Google
OR
Password: *
Re-Type Password: *
Payment Details
You will be charged a $50 non-refundable registration fee.
Card Type: *
Card Number: *
Exp. Month: *
Exp. Year: *
Security Code: *
Waiver and Release

I accept the above waiver and release

Only enter this field if you were told to do so by a staff member.


Chai4ever is a non-profit 501c3 organization.