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Virginia Adventure 5,000 Registration Form
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* Indicates required question
What is your name?
*
Your answer
What is your senate number?
Your answer
What is your email?
Your answer
What is your level of participation?
I will be running or walking.
I will not be running or walking but will make a donation (online).
I will not be running or walking but will send a check donation to Kay Faries.
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Are you a member of the US JCI Senate Foundation?
*
Yes.
I am not and would like more information about the US JCI Senate Foundation.
I am not a member of the US JCI Senate Foundation.
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