Down Syndrome Society of the Susquehanna Valley - Bringing Down Syndrome Awareness to the Susquehanna Valley
Buddy Walk Registration


DSSSV Buddy Walk Registration Form
Name: / Team Name:
Address 1:
Address 2:
City / State / Zip Code:
Phone #:
Email address:
Number of Walkers:
Do you have someone in your family who has Down syndrome?
If you answered yes to the question above, please provide their name and birthday:
I cannot attend the Buddy Walk, but I will mail a donation (checks payable to DSSSV) to help promote Down Syndrome Awareness!
Other
$25.00
$50.00
$100.00 or more
Additional Comments:
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