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2024 LPA District 3 Walk and Rolll
Participant Information- Each Participant Must Register Separately
Name
*
Email Address
*
Address
*
City
*
State
*
Zip
*
Phone
*
Date of Birth
*
+
T-Shirt Size
*
No Shirt for me.
Youth Extra Small
Youth Small
Youth Medium
Youth Large
Youth Extra Large
Small
Medium
Large
Extra Large
2XL
3XL
Choose Race Location
*
Joining you from home!
Age of Participant
*
0 - 4 years old ($15.00)
5 - 17 years old ($20.00)
18+ ($30.00)
Everyone loves a good hoodie! I would like to order a Dwarfism Awareness Hoodie. The image above is on the back of the hoodie.
Youth XS ($40.00)
Youth S ($40.00)
Youth M ($40.00)
Youth L ($40.00)
Youth XL ($40.00)
Adult S ($50.00)
Adult M ($50.00)
Adult L ($50.00)
Adult XL ($50.00)
Adult XXL ($50.00)
Adult XXXL ($50.00)
Are you participating in support of a certain individual or family? If so, please list the name of the person below.
Additional Comments?
I would like to make a donation for the Walk and Roll!
We Ship It!
*
No Shipping for me ($0.00)
Shipping One Item ($7.00)
Shipping More Items ($10.00)
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