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| The 1st Annual Bethany Life Communities' | ||||||||||||||||||
| Run, Walk & Roll Street Race | ||||||||||||||||||
| 5K Run | 3K Walk | 1K Wheelchair Roll | ||||||||||||||||
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Sponsor Form | |||||||||||||||||
| Total Contributions:______________ | ||||||||||||||||||
| Paricipant's Name:________________________ | ||||||||||||||||||
| Sponsor Name | Address | Phone # | Amount Donated | |||||||||||||||
| "Helping elders thrive in their life journey, living in a Christian environment of hope and compassion." | ||||||||||||||||||