Start a Team

Don’t miss out on our 2012 challenge and start a team today! Are you ready for a change? Our teams and their projects, large and small, begin the ripple effect of inspiration to make a difference in their community. Every little bit helps. Join us by starting your team and "Be the change you wish to see in the world"! Registration for the 2012 Challenge Event ends 11/30/11. Register below using your credit card or PayPal account. You may also download a Team Entry Form here to send along with a check. Macintosh users may experience problems when using the Safari web browser. Firefox is recommended.

Please use the simple form below to register your team and start making a difference today!

Team Name: *

Team Leader: *

Phone: *

Cell Phone: *

Email Address: *

Company Name: *

Address: *

City: *

State: *

Zip: *

Other Companies Included In Team: *

Team Registration Fee Options: *

The corporate logos will appear on the web site, t-shirt and other printed material for 2012.

Confirm Buttons: *

I commit to participating in the Project Change Challenge Event in 2012.

I agree to communicate with PCKC and act in the best interest of my team and my community.

I understand that teams may be asked to raise their own funds need for their projects.

I am aware that my team will have the freedom to choose and plan our projects. I/We release Project Change, Inc. from any liability regarding those decisions.