KC Moving Day Celebration - Reward pick up

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* 1. Please enter your contact information below.

First Name

Last Name

Phone

Email

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* 2. Please enter your team name.

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* 3. Who are you picking up for?

Myself

Myself & someone else

My team

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* 4. If picking up for other participants, please enter their first & last names below.

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* 5. If picking up for only yourself, what T-Shirt size do you prefer? Please note this is for those who raised $100 or more. Please reach out to erhodus@parkinson.org if you have any questions.

S

M

L

XL

XXL

XXXL

I didn't earn any rewards but would like to pick up a swag bag!

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* 6. If picking up for multiple people, please enter the # of each T-Shirt size you will need. Please note only participants who raised $100 or more qualify for a T-shirt.

S

M

L

XL

XXL

XXXL

Moving Day swag bags (for those who didn't earn t-shirts or rewards)

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* 7. What time do you plan on picking up your rewards? It's okay if you have to change times later. It's only meant to help us plan!

4:00 - 4:30 pm

4:30 - 5:00 pm

5:00 - 5:30 pm

5:30 - 6:00 pm