NAMIWalk Registration

NAMIWalk Registration Form

22nd Annual Walk For Awareness Registration Form for Walkers
Ocotober 5th 2024
Registration: 9:15am
Walk Begins Promptly at 10:00am
Long Leaf Park - Picnic Shelter 6

Name*
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code
Phone
Email*
Waiver Attestation*
I have read and understand the below waiver.
In consideration for your accepting my registration:

I herby accept all risks and liability while attending and participating in this WALK for Awareness event. I also hereby authorize NAMI Wilmington permission to use my likeness in a photograph in any and all its publications.

I am fully aware and understand that NAMI-Wilmington, the organizers, supporters, volunteers, and members will not be held liable for any loss, damage, or personal injury resulting for any reason from the participation of myself in this event or my participation in any related activities.

By agreeing to registration, you also agree to be added to the NAMI Wilmington email list, but you can opt out at any time. An opt-in email message will be sent to confirm.
Please Select One of the Following:*
- $20 Registration Fee - Includes T-Shirt
- Free for Individuals with a Mental Illness - Includes T-Shirt
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