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PRE-REGISTRATION FORM

  • Where: Villanova University

  • Date: Friday April 25th, 2003

  • Time: 5:30pm

  • For Whom: Pediatric AIDS Foundation

  • Registration Fee: $10.00

ALL RUNNERS MUST READ AND FILL OUT THIS WAIVER IN ADDITION

After you have read and completed the waiver, please also fill out this form for confirmation of your attendance.

      First Name:                
Last Name:         
Local Phone #:    
Local Address:    
E-mail Address:   

After submission, you will receive a confirmation e-mail from the president.

If you have any other questions, please e-mail:

 alyssa.boasso@villanova.edu

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