Walk for Awareness

Saturday, June 17, 2017 @ 10:00 am
33015 Bevan Ave., Abbotsford, BC V2S 4S5

  **Register by June 10th to be included in the totals for Buddies.  Prizes given for bringing 40+ buddies.**

**REGISTER BELOW**
Using CREDIT CARD or PAYPAL account

 or

REGISTER AT THE WALK by
CASH or CHEQUE from 10:00-11:30am,
It is not a requirement to raise funds, but we encourage you to
Make a FUNDRAISing page  or make a DONATION
 
To collect pledges offline, DOWNLOAD the Pledge Sheet here

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REGISTRATION FORM

$5 each person before June 10th
$10 each person after June 10th
Children under 1 year FREE
People with Down syndrome FREE

**Completing your Walk registration requires payment to be submitted .**

**Payment by credit card or Paypal account to follow submission of this completed form.**

   

Name*:
Required field
Your Team Name:
E-Mail*:
Required field
Phone number*:
Required field
Name of person with Down syndrome you are walking for*:
Required field
Total # of Walkers over 12 MONTHS old (Do NOT include person with Down syndrome)*:
Total # of Walkers with Down syndrome)*:
Names of adults 19yrs + attending*:
Required field
Names of children ages 1-18 attending*:
Required field
Comment:
Waiver:








In submitting this registration, I acknowledge that I understand the intent thereof, and I hereby agree and absolve and hold harmless the Fraser Valley Down syndrome Society, corporate sponsors, cooperating organizations and any other parties connected with this event in any way singly or collectively from and against any blame and liability for any injury, misadventure, harm, loss, inconvenience or damage hereby suffered or sustained as a result of participation in any activities organized by the Fraser Valley Down syndrome Society.

Authorization for the use of photos and names:








In submitting this registration, I authorize the Fraser Valley Down syndrome Society to use any photos of myself, or family including a minor under my custody or an adult for whom I am authorized to make decisions. I authorize photos to be used by FVDSS for the purposes of pamphlets, newspaper ads, website or any of the foregoing. I understand that giving my consent to this will mean no financial payments will be made to me by the FVDSS.
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