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2. Name
3. Email Address
5. Department
   -- Select One --Administration & FinanceCommunity DevelopmentEngineeringInformation and Communications TechnologyParks & RecreationPublic SafetyPublic Works
7. Donation Collection

   Participants will receive a pledge form and envelope to record and collect donations. All donations must be submitted at the time of the event to qualify for incentives.

8. Waiver
   Download Waiver

   All participants must submit a signed waiver to participate. Please print a waiver, sign it and return to Jean Schowalter or bring it with you the day of the event. 

   
   

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10. 1. Receive an email copy of this form.
11. Email address

    This field is not part of the form submission.

12. Submit

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