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REGISTER for the Village Manor "Steps for Support" Relay Walk

1.Name (first and last)(Required.)
2.Email(Required.)
3.Phone Number(Required.)
4.Please check appropriate designation.(Required.)
5.How many laps will you pledge? (Most residents will probably complete one lap only with you, and you will finish the laps pledged for entry into prize drawing).(Required.)
6.OPTIONAL t-shirt (April 30 was the deadline to submit order for t-shirt.)
NO MONEY IS DUE NOW
REGISTRATION FEE OF $10 WILL BE COLLECTED AT CHECK-IN ON THE DAY OF THE EVENT.
OPTIONAL T-SHIRT PAYMENT OF $20-$22 WILL BE COLLECTED ON THE DAY OF THE EVENT.

MHS EMPLOYEES WILL BE NOTIFIED WHEN T-SHIRTS ARRIVE AND WILL BE GIVEN THE OPTION TO PICK UP THEIR T-SHIRT AND PAY VIA PAYROLL DEDUCT AT THE CARING HEARTS GIFT SHOP.