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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.

Thanks!

 

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First Name
Last Name
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Donation

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)

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