FaithCentre's Walk-Run Online Registration Form

Please fill out the form below, click on the "Register button, then proceed to PayPal (see below the form) to send payment by credit card.

 
     Walk-Run of Faith Registration Form


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Note: To guarantee your t-shirt, please mail in registration by March 31st, 2019.
T-shirt Size:
Sponsor(s) Name & Address / Amount Pledged / Cash or Check #
Waiver: I hereby acknowledge that participation in a Walk/Run is an inherently dangerous activity. I understand that risks include serious injury or death, from such hazards as weather conditions, falls, contact with the road, motor vehicle traffic, contact with other participants, and other potential hazards. I acknowledge that I should not enter or participate in this event unless I am medically able and properly trained.

For the sole consideration of allowing me to participate in this event, I hereby release and forever discharge FaithCentre., Inc., and the Borough of Bellefonte, their members individually and their officers, agents and employees from any and all claims, demands, rights and causes of action arising from any personal injury, property damage, or the consequences thereof, resulting from or in any way connected with my participation in this activity.
By filling out the information below, I certify that I am at least 18 years of age and that I have read and understood the Waiver as stated above.
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After emailing your registration, please send your entry fee
by clicking on the "Donate" button below to visit PayPal's trusted Processing Center.
Pre-registered fee—$15 for adults/$10 for youth
Please turn in sponsor monies collected on the day of the race or drop off at the
Faith Centre office.