OFFICIAL TEAM LEADER REGISTRATION FORM

"MAD DASH FOR GROCERIES" SHOPPING SPREE

I have read the contest TEAM RULES and would like to register to be a Team Leader for the "Mad Dash for Groceries" Shopping Spree fundraiser. By completing and submitting this form and becoming a Team Leader that solicits donations for FoodNet Food Bank of Lafayette, LA, I acknowledge that I am at least 18 yrs. of age. I also am allowing my name and/or photo or video of myself to appear on MadDashShoopingSpree.org and FoodNet Food Bank~Rs website and social media sites including Facebook, Twitter and Instagram. I agree to abide by the regulations of this event.



Sign up here:
Name
Address
Email
Phone No.Password

ONCE YOUR FORM IS RECEIVED, WE WILL SEND YOU A TEAM LEADER'S PACKET TO HELP YOU SOLICIT ONLINE DONATIONS. THANK YOU FOR YOUR SUPPORT!

Remember: Only Team Leaders are eligible to win the Shopping Spree; all online donors to Teams are eligible for the prize drawing. See Team Leader Contest Rules for details.

Team Leader Mail-in Registration Form

Questions may be answered by emailing: info@maddashshoppingspree.org.
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