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Contact Information:
First Name:
A value is required.
*
Last Name:
A value is required.
*
Home Phone:
A value is required.
*
e-mail:
A value is required.
Invalid format.
*
T-Shirt request:
S
M
L
XL
XXL
XXXL
XXXXL
Measurements
S
M
L
XL
XXL
XXXL
XXXXL
Total Length
28
29
30
31
31 1/2
32
32 1/2
Total Width
18
20
22
24
26
28
30
Role:
Participant
Volunteer
Location:
Whitby
Richmond
Address:
Street:
City:
Prov/State:
Postal/ZIP:
Country:
Please bring donation form and all moneys collected to the event. At registration you will receive your t-shirt. Extra donation forms will be made available at registration.
* One registration and t-shirt per participant.
** The Walk to Fight Friedreich's Ataxia is free to participate in; however, this is a fund razing event. T-shirts will only be given to those who directly donate or receive donations.
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