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Email:  Kendall Stiles
American Cancer Society


Survivor Registration

What is a Survivor?
     Survivor - To carry on despite hardships or trauma (http://dictionary.com)

Only 4 survivors participated in Milledgeville's original Relay event. Last year more than 300 survivors came out and participated!!!

Cancer Survivors will take the first lap to kick off the Relay. The names of all survivors will be announced. There will be a special reception following the first lap under the hospitality tent.

**If you are a cancer survivor please fill out the information below.**

First Name:
Last Name:
Address:
City:
State:
Zip:
Phone Number:
Anniversary Date:
Survivors get a free T-shirt.  Please verify your size.
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S
M
L
XL
XXL
XXXL