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Rood Bridge Park Walk
Name
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First Name
Last Name
Email
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Verify Email
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Phone
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Contact Information
Address
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Address Line 1
Address Line 2
City
City
State
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ZIP/Postal Code
Country
Ethnicity
Our programs are funded by many donors from the community. We must report data (ex. demographic and geographic) of our participants. The demographic information you provide will assist us in attracting more support to continue our programs to serve diverse populations. The information never includes individual names or contact information.
African American/ Black
Asian
White
Hispanic/ Latino
American Indian/ Alaska Native
Native Hawaiian/ Pacific-islander
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Photo waiver
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I/we hereby give to Pink Lemonade Project, its successors or assigns, the right to reproduce in any of its printed and online publications (such as newsletters, annual reports, websites, social media posts, and blog posts) all pictures that it has produced of myself (and minors).
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