Test Page – Angel Fund

Kickin’ Cancer in the Cornhole

First Name *

First

Last Name *

Last

Cell Phone *

Email *

Checkboxes *

I am registering individually - I don't have a partner

I am registering individually - I have a partner who will register separately

I am registering me and my partner

Partner Full Name (if registering separately) *

Entry fee - select number of participants *

First Name (2nd Person) (Team 1) *

First

Last Name (2nd Person) (Team 1) *

Last

Team 1 Name *

Choose your desired team name for Team 1

Message

I'd like to make an additional donation to the Angel Fund on behalf of myself or my team *

Yes

Additional Donation

Enter Amount

Total

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