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Fundraiser Ends: December 31, 2024

Event Date: October 20, 2015 6:45AM

Location: Main Street Pools

Account Login Details

Username:

enter an annonymous nickname/codename. max i.e. 12 characters for username only This nickname will appear in the "Top Fundraisers" area. Letters/Numbers only. Spaces and symbols can not be used.

Password:
letters and at least 1 number (8-16 characters long)

Email Address:
enter a valid email address, like [email protected]

Profile Information

First Name:
enter your first name.

Last Name:
enter your last name

Fundraising Goal:
the dollar amount you hope to fundraise. eg. 100

About Your Goal:

maximum 500 characters!

Profile Picture
upload a picture to display on your profile. (.jpg, .png, .gif accepted. Maximum filesize: 2MB.)

Address

Address:
EG: 120 Avenue Road.

City:

Province/State:

Postal Code/Zip Code:
EG: N1R 1C1

Country:

Phone Number:
EG: 1-123-453-4343