register - Peter De Mott Peace Trot

2022 PDPT registration

* Indicates required field

Name: *

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Last

Address: *

Line 1

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Phone Number: *

Email: *

I plan to participate in the: *

5K 1-Mile fun run I am not trotting but please send me a t-shirt

$ registration donation amount *

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Check Credit Card

T-Shirt Size *

Confirm your REGISTRATION and DONATE NOW!