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Anticipated Event Date (MM-DD-YYYY)
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Preferred Kick-off Assembly Date (4 weeks before event date)
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School fundraising goal
Preferred School Give-back:
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HeartSmart(TM)Points
Cheque
Donate back to HSF
Does your School allow student fundraising prizes?
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Supply Materials in:
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English
French
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Communication Preference
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Phone
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Co-Coordinator First Name (if applicable)
Co-Coordinator Last Name (if applicable)
Co-Coordinator Email Address (if applicable)
Co-Coordinator Phone # (if applicable)
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Please add my email address to receive information related to Jump Rope for Heart.
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Please add my email address to receive updates from the Heart and Stroke Foundation.
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