Paag Vug Walkathon Registration Form

Make payment through paypal using the "as a gift or family and friends" option. Or with Venmo
Please add a note that the payment is for the Walkathon and include your Name

Select Payment options
Please select the type of payment
Paypal account : paagvug@gmail.com
Venmo account : @Paag-Vug-1 or paagvug@gmail.com

* required fields
*  First Name

* Last Name 

Address 

City  

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Please enter an email or phone or both so we have a method of contacting you
Email  

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Number of Participants :

Adult (Include Yourself) :

0 123 456 789 101112 131415 161718 1920 x $ = $

Childen 17 & Under :

0 123 456 789 101112 131415 161718 1920 x $= $

Total : $