Fundraiser Registration

**NOTE: If you have created a username previously for a CancerCare please click Log In and use your existing username/password to complete the form. Please do not create a new username.

Thank you for accepting the challenge to work with CancerCare to make a difference in the lives of people affected by cancer. To begin your fundraiser, please follow the instructions below:

  • Complete the registration form in full, providing contact information such as first name, last name, email address, phone number, and home address.
  • You will also be asked to provide personal information such as your gender and birth date, entered as mm/dd/yyyy.
  • If you are registering for the first time, please create a username and password. This information will be used to log in to your CancerCare fundraiser page to help you fundraise and track your progress. Choose a username and password combination that you will remember.
  • Complete the registration form by reading the Waiver & Release of Liability, and checking the box beneath the waiver indicating that you have read and agree to the contents.
  • Click "Next" to proceed.

**NOTE: All form fields followed by a red asterisk (*) are required.

Step 1:
Register
Step 2:
Join Options
Step 3:
My Dashboard
New Participant Registration
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Account Information
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6 characters or more. Password is case-sensitive.
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Waiver and Policies
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Already Have a Log-In? Click Here