LSU Softball's "Strikeout Ovarian Cancer" Survivor Application (2014)
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Required Fields in Bold

LSU Athletics will recognize all ovarian cancer and other gyn cancer survivors in a special pre game celebration at this year's "Strikeout Ovarian Cancer" for LSU Softball's game on Saturday, April 12. To participate in the recognition, survivors are asked to complete the online form below. Entries are requested by April 10. Honorees will be notified as soon as possible after they are selected.
Full Name
 
Street Address
 
City
 
State
 
 
ZIP Code
 
Phone Number (w/ area code)
 
E-mail Address
 
T-Shirt Size (adult sizes only)
 
Number of Years as a Survivor
 
 
Tickets

Each survivor and their families can purchase tickets for $2 each. Directions for how to purchase tickets will passed along in your confirmation e-mail.
In Memory/Honor of (if nec.):