Race Shirt - Honor Your Loved One!

Pictured above is a mockup of the 11th Annual Leap 4 The Lily Pad event shirt that will feature names of our loved ones that are differently-abled as they form the event date and bible verse 4:15 (2 Corinthians). To save everyone a google search, 2 Corinthians 4:15 reads: "For it is all for your sake, so that as grace extends to more and more people it may increase thanksgiving, to the glory of God."

We thought this bible verse really spoke to what the Lily Pad will be bringing to our community as well as what it will mean to its employees and their family and friends.

If you are a parent/guardian of an individual with an intellectual or developmental disability, please submit their name below to be included on this year's t-shirt.*

*Please note that inclusion of an individual's name on the t-shirt does not guarantee future employment at the Lily Pad.

Name of person filling out this form:*
First Last
Name of individual to feature on event t-shirt:*

Please include name exactly how you would want it printed on the race t-shirt.
Where are you located?:*

Let us know where you are from.
Email:*

Will only be used in case we have a question.
Photo of your loved one:
Max. file size: 128 MB.
*OPTIONAL :: Will be used to do a post on social media to show participants all of the amazing individuals they will be supporting.
Phone
This field is for validation purposes and should be left unchanged.