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December 2021 Mindful Walk Registration

Please help us by using one form for each participant.
In other words, each participant should register separately.
Here's why:

  • This program has a participant cap, and one participant per form keeps our registration numbers accurate.
  • We need all participants to read and agree to the terms of our Participant Waiver.




First Name
Last Name


Address Line 1
Address Line 2
ZIP/Postal Code

The suggested donation is $10/person. To donate a different amount, use the custom amount field.

To register without donating, select the custom amount field and leave it blank.

Participant Waiver

I have read RPA's Participant Waiver and Release of Liability, and by checking the 'I Agree' box below, I indicate my agreement to its terms. (Required)