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WARRIOR KID REGISTRATION FORM
- Warrior Horses for Warrior Kids - Register your warrior kid to be matched with a Warrior Horse in support of Ryan Melendez's Man of the Year campaign for the Leukemia & Lymphoma Society.
Contact Email Address *
REGISTER YOUR WARRIOR KID TO BE MATCHED WITH A WARRIOR HORSE!
Warrior Kid Name *
Warrior Kid Age *
Parent Contact Name *
Parent Contact Phone Number *
Parent Contact Email Address *
Warrior Kid Address *
City *
State *
What type of Cancer does your child have?
Is your child in active treatment? (this wont effect involvement)
Clear selection
Has your child ever been around a horse? (this doesn't effect being apart of the program)
Clear selection
Next Steps *
Required
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