Thank you for your interest in participating in Pump it Up! Family Fun Walk 2024 as we make the final push to reach our fundraising goal for the Re-establishment of the Carlton Home!

Once you have completed and submitted this form, the order will be received by the branch you choose. Upon collection, you will pay the total cost as outlined on your copy of the order form. Order fulfillment is based on availability at the time of payment.

Let's begin!

Pump it Up Order Form

Registration information:

  • Registration fee: Individuals (up to 2 persons) - $20 per person; Groups (3 or more persons) - $15 per person. 
  • Registrants will receive: T-shirt and a giveaway
  • List participants in the registration information section (please complete all fields)
  • Registration periods: Carriacou - February 26-April 12, 2024; Grenada - February 26-April 19, 2024, or while stocks last
  • To be eligible for prizes, participants must be registered by April 10, 2024 (Carriacou) and April 17, 2024 (Grenada).
  • Orders can be made online or in person. Online orders will be fulfilled at the time of payment and collection at Co-op Bank branches.
  • Payments: Cheques are to be made payable to “Grenada Co-operative Bank Fun Walk”. There will be no refunds or transfers.
  • Call 440-2111 OR 444-2667 (COOP) for further information.

Let's begin

New or existing group?*

Individual Participant Information

1-2 participants

Name*
Date of Birth
T-Shirt Size*
Name*
Date of Birth
T-Shirt Size*

Group Registration

If registering as a group, enter the name of the group
Full Name (coordinator's name if registering as a group)*
Date of Birth*
Address*
T-Shirt Size of Group Coordinator

Existing Group Registration

If registering as a group, enter the name of the group
Full Name (coordinator's name)

Individual Participant Information

Name*
Date of Birth
T-Shirt Size*

Individual Participant Information

Name*
Date of Birth
T-Shirt Size*
Name*
Date of Birth
T-Shirt Size*
Name*
Date of Birth
T-Shirt Size*
Name*
Date of Birth
T-Shirt Size*
Name*
Date of Birth
T-Shirt Size*
Name*
Date of Birth
T-Shirt Size*
Name*
Date of Birth
T-Shirt Size*
Name*
Date of Birth
T-Shirt Size*
Name*
Date of Birth
T-Shirt Size*
Name*
Date of Birth
T-Shirt Size*
Name*
Date of Birth
T-Shirt Size*
Name*
Date of Birth
T-Shirt Size*
Name*
Date of Birth
T-Shirt Size*
Name*
Date of Birth
T-Shirt Size*
Name*
Date of Birth
T-Shirt Size*
Name*
Date of Birth
T-Shirt Size*
Name*
Date of Birth
T-Shirt Size*
Name*
Date of Birth
T-Shirt Size*
Name*
Date of Birth
T-Shirt Size*

Preferred Branch

Select the location you prefer to collect your packages. Orders are based on availability at the time of payment and collection. 

Preferred Branch for Pickup*

I/we hereby waive all claims against Grenada Co-operative Bank Limited and all its Alliance Partners associated with this event, for injury or loss I/we might suffer by participation in, or as a result of this event. I/we grant permission to each of the foregoing to use my/our name, image, photographs, videotapes and any other media or record of the event for legitimate purposes, including promotions without compensation to me/us. I/we acknowledge that Grenada Co-operative Bank Limited has the right to alter, change, cancel and or postpone the event(s) at their sole discretion. I/we warrant that all statements made in this agreement are true and correct and I/ we understand that the Organizers have relied on them in allowing me to participate in the event.

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