WCC 2022 Walk Registration

September 17th

The Care Center

Registration begins at 8:30 am • Walk begins at 9:00 am

First Name *

Last Name *

I am: *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Church/School Group Affiliation

Email Address *

I am unable to walk, but will make a donation.
To give a donation, please visit thecarecentertn.org/donate

Have you walked in a Walk For Life before? *

If I raise $200 or more, my t-shirt size is: *

Comments

WAIVER OF LIABILITY - By submitting this form, I waive all claims for myself and my heirs against The Care Center for any injury or illness which may result directly or indirectly from my participation. I also give this organization permission to use photographs or videos of me for any future event promotion. *

I Agree

I Disagree

I have read and agree to this waiver. *

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