2017 Walk for Life
Saturday, October 21, 2017
Registration 8:00 am
Event starts at 8:30 am
Make your donation online at https://connect.egiving.com/walk-for-life-in-farmville/pregnancy-support-center-southside
Email address *
Participant's Name *
Your answer
Address *
Your answer
I plan to participate by: *
Phone Number
Your answer
Team Captain's Name
Your answer
Do you qualify for a FREE T-Shirt? ($100+ raised) *
If you qualify, please indicate adult T-Shirt size below *
Are you interested in volunteering on the day of the event? *
A copy of your responses will be emailed to the address you provided.
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