2024-2025 Jog-A-Thon
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Thank you for supporting our 2024 Jog-A-Thon! Your tax-deductible donation is appreciated! You will receive a donation confirmation via email.
Please submit one form per child.
Your Name
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Student Name (First, Last)
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Student Grade
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K
1
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3
4
5
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K
1
2
3
4
5
Phone
Email
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Payment
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
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ND
NE
NH
NJ
NL
NM
NS
NT
NU
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NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
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VA
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WA
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YT
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