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MARCH FOR LIFE REGISTRATION FORM

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A $300 Non-Refundable Deposit will be required when registering.
Please fill out the form below.
The maximum number of form submissions has been reached. This form is currently not available.
- FIRST NAME REQUIRED Please fill out this field. Please enter valid data.
- LAST NAME REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- CELL PHONE NUMBER REQUIRED Please fill out this field. Please enter an integer (number).
- DATE OF BIRTH REQUIRED Please fill out this field. Please enter a date.
- GENDER REQUIRED Please fill out this field.
- CHURCH PARISH OR CATHOLIC SCHOOL REQUIRED Please fill out this field. Please enter valid data.
- GRADE REQUIRED Please fill out this field.
- SHIRT SIZE REQUIRED Please fill out this field.
- ADDRESS REQUIRED Please fill out this field. Please enter valid data.
- CITY REQUIRED Please fill out this field. Please enter valid data.
- STATE REQUIRED Please fill out this field. Please enter valid data.
- ZIP CODE REQUIRED Please fill out this field. Please enter an integer (number).
- 1) EMERGENCY CONTACT REQUIRED Please fill out this field. Please enter valid data.
- RELATIONSHIP TO PARTICIPANT: REQUIRED Please fill out this field. Please enter valid data.
- PHONE NUMBER REQUIRED Please fill out this field. Please enter an integer (number).
- 2) EMERGENCY CONTACT Please enter valid data.
- RELATIONSHIP TO PARTICIPANT: Please enter valid data.
- PHONE NUMBER Please enter an integer (number).
- PAYMENT OPTIONS REQUIRED 300.0 – NON-REFUNDABLE DEPOSIT 650.0 – TOTAL REGISTRATION FEE Please fill out this field.
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