Family/last name

First name

Company/Organization/School

Address

City

State

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Shirt Size

Friday, March 19

Fort Hays State University

Hays Recreation Commission

Fancheons

The week of the event you will be receiving an information letter via email or postal mail in regards to the details of the event.

By signing, I grant Special Olympics Kansas and Special Olympics, Inc. permission to use my likeness, voice, and words in or on television, radio, film and on Special Olympics Kansas

and Special Olympics, Inc.'s web site(s) or in any other form, format, or media, to promote Special Olympics and its mission to raise funds for Special Olympics

Signer Name

Signer name

Job Assignment