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Registration Form - Chippawa Shores Walk/Run
100% of all proceeds go to St. Francis Valley Healthcare Foundation
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First Name
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Last Name
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Number of members in your party
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Number of people staying for the BBQ
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Email Address
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Phone Number
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Donation Amount (Recommended $20 per person or $50 for family)
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Do you consent to receive email or communication from Chippawa Shores and Team Roche for future fundraising events.
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