Volunteer, Luminary and Survivor Registration.

First Name:
Last Name:
Telephone number:
Email address:
Address:

What I'd like to sign up for:

I'd like to buy a luminary ($10 donation per luminary) If so, please fill out box below.

I'd like to find out how to be a team captain.

I'd like to join someone else's team.

I'm a survivor and would like to know how to participate.

I'd like to help plan the event.

Name of the person (or people) you would like to honor or remember with a luminary

(the luminary ceremony will be held at 9 pm on the 28th)

 

1)

 

2)

3)

Should we call you or send email?

CallEmail

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