CINJ Foundation: Quarters for the Cure

Visit CINJ's Website

Featured Video
What Does a Minute Hold?

see more video

Featured Slideshow
The Award of Hope Gala 2010

see more slideshows

become a fan of CINJ on Facebook

Quarters for the Cure
Please fill out the form below to complete your registration process for the January 2010 kickoff:

Note: You must be an authorized agent for your school to register. Students are not authorized to register your school.

REGISTRATION FORM

School Name*	A value is required.
School Address Lines*	Required.
School City*	Required.
School County*	Required.
School Zip*	Required.Invalid format.
School Phone (numbers only)*	Required.Invalid format.

Contact First Name*	Required.
Contact Last Name*	Required.
Contact Title*	A value is required.
Contact Phone (numbers only)*	A value is required.Invalid format.
Contact Email*	Required.Invalid format.

# of Faculty/Staff Participating*
# of Students Participating*	A value is required.
Grades Participating*	A value is required.

How did you hear about Quarters for the Cure?	Please select an item.

We would like a personal fundraising webpage*



*Required field.

What's New at CINJ

Meridian Health Welcomed as First System Partner to CINJ

CINJ Study Shows Addiction to Life-Saving, Self-Digestion Process Can Aid Cancer Cells in Tumor Growth

Gallo Prostate Cancer Center Welcomes New Member to Community Advisory Board

Panera Bread® Joins Fight Against Cancer with New Community Partnership

Latest Stories