Wednesday, September 8, 2010

Fun Run Walk and Roll registration!

First Name: *
Last Name: *
Are you registering as an individual or as a family? *
Individual registeration
Family registration (3-4 people)
Family registration (5 or more)
E-mail Address: *
Phone Number: *
Street Address: *
Address Line 2:
City: *
Postal Code: *
Form of donation *I will donate through Paypal/Credit card upon turning in this form
I will bring a check for Reeces Rainbow (Memo: Tori-9) at the Fun Run
Other Comments / Questions?
I would like to volunteer for this event! Let me tell you what I can do...

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