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VIRTUAL Purple Walk 2020 Registration
Sign up for this years VIRTUAL Purple Walk for Epilepsy taking place on Saturday, July 11, 2020
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First Name
*
Your answer
Last Name
*
Your answer
Email Address
*
Your answer
If you are on a team, what is your team name?
Your answer
Are you the team captain?
Yes
No
Phone Number
Your answer
Mailing Address
*
Your answer
City
*
Your answer
Postal Code
*
Your answer
How many years have you participated in the Purple Walk for Epilepsy?
This will be my first year!
This will be my second year
I have walked over 2 years!
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How old are you? (don't worry, I won't tell anyone)
Choose
1-12
13-18
19-25
26-39
40-49
50+ and FABULOUS!
THANK YOU!
We are thrilled that you have signed up for the VIRTUAL Purple Walk for Epilepsy. We are hoping to surpass last years 800 walkers so feel free to send this link to family and friend OR to sign them up yourself!
We will send you an online donation link in the coming days and are always here to help you raise funds! With your help we can meet this years goal of $100,000!
Let's show this city our PURPLE PRIDE!!
Brandon Fairley
Director of Development
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