Drake Center: Specialized Medical & Rehabilitative Care

Event Registration

Add a Single Registration

Please enter the attendee's information below, and click "Add and Continue" to confirm.
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Name:
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Alternate Phone:	- -
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Check the box next to your preferred option(s).
Registration Option:	Yes, Register Me for Giulliani Event: $100.00 Yes, I Want to Sponsor a First Responder: $100.00
Special Considerations	(Vegetarian Meal, Wheelchair Access, etc.)
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