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Breast Cancer & Domestic Violence Walk
Please complete registration form and come walk with us on Saturday, October 22nd @ 10AM! There will be giveaways
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* Indicates required question
I am a breast cancer survivor (responses to this question will remain private)
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Yes
No
I am a domestic violence survivor (responses to this question will remain private)
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Yes
No
Please indicate the number of guest accompanying you to the walk (i.e., 1, 2, 3, etc) who are not registering
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Your answer
Contact info
Your name
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Phone number
*
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E-mail
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Your answer
Would you like to receive notices about upcoming events from Lake Oconee Area Alumnae Chapter of Delta Sigma Theta Sorority, Inc?
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Yes
No
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