Walk a Mile in Her Shoes® Registration

* required information
Registration 
Registration Information
Shirt Sizes for Participants:*
Shoe Size for Participants:*
First Name:*
Last Name:*
Email:*
Address Line 1:*
Address Line 2:
City:*
State:*
ZIP/Postal Code:*
Phone:*
School:
Mail to this Address?
Fees
Single Student
Registration for 1 individual student walker
$7.50
Relay Team
Registration for 4 walkers.
$27.50
Single Non-Student
Registration for 1 individual Non-Student walker
$12.50
Additional Information
List Attendee Names::
 

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