Meetings
Members


Participant Registration Form

 

 

Strides Diabetes Awareness & 5k Run/Walk

April 29, 2018

Lewiston Fire Hall #1, 145 North 6Th Street, Lewiston, NY 14092

 

  

Name ______________________________________________________________________________________

Address ____________________________________________________________________________________

City _______________________________________________________________________________________

Zip Code ______________________________________Age______________________________________

E-mail ______________________________________________________________________________________

Telephone   _______________________________________________________________________________________

Registration Fee is $25.00/$35.00 After 4/1/2018

 

Mail Registration Application and Check to:

Lewiston Community Lions Club

PO Box 249

Lewiston, NY 14092

716-807-2409

 

 

 

 

 

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