First Name:
Last Name:
Occupation:
eMail Address:
Address:
City:
State:
Zip:
Phone Number:
Have you participated in previous Stone Dye Your Hair Events?
Green Week
Red Week
Red Week & Green Week
No
Have you read the
FAQ
page and understand what you're getting into?
yes
no
Are you aware of the due dates for hair dyeing and turning in pledges?
yes
no
Would you like us to mail you a pledge kit, or would you prefer to download it?
Please mail it to me
I'll just download it and print it out
What is your personal fundraising goal?
This year we'll be taking pledges through the Stone Online Giftshop. On the pledge page is a list of participants that displays only your name, occupation and registration number. Would you like to be in this list?
Yes, please list me on pledge page
No, do not put my name online