University of Tampa Women's Walk Registration Form
Please Print and Fill out the below registration form:

Mail the completed form to:  Nikki Jessee, University of Tampa, Women's  Basketball, 401 West Kennedy Blvd, Tampa, FL 33606-1490.

 First Name _____________________  Last Name____________________

 Address ________________________________

 City _________________ State _____ Zip ___________

 Phone _____________________________

 Email ______________________________

 Donation $____________________ T-Shirt Size __________

I am unable to walk this year:     Here is a donation $ _________

                                         **Please make checks payable to the UT women’s basketball
                                                     (your check will be your tax deductible receipt)**



                   Questions – Call Nikki Jessee, Walk Director @ 727-403-1872
                                                                     or
                                           Email @ nikki@winwaysinc.com


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