Registration

Walk Location:

First Name:

Last Name:

Age on Walk Day [if under 18]:

Gender [M/F]:

Address:

City:

Province/State:

Postal/Zip Code:

Email:

Please check one of the following options [required]:

I will walk as a part of a group or team.
Input group name (ie. Name of church, youth group, school, etc.)
[**required if walking as a part of a group]:

I will walk as an individual.

Unfortunately I will not be able to walk, but want to raise funds for this urgent cause.

Pre-Order t-shirt [optional]:

Yes, I would like to pre-order a BRING HOPE t-shirt.

No, I would not like to pre-order a BRING HOPE t-shirt at this time.

Waiver

[All participants must read and accept the terms below, or have their parent or guardian do so if under the age of 18]
In consideration of the acceptance of my application and the permission to participate as an entrant in the BRING HOPE Walk for Hunger and any or all of the pre and post event activities on June 6th, 2009, I for myself, my heirs, executors, administrator, successors and assigns, hereby release, waive and forever discharge BRING HOPE and World Vision, all sponsors and contributors and all other associations, sanctioning bodies and sponsoring companies, and all their respective events, official servants, contractors, representatives, successors, and assigns to and from all claims, demands, damages, costs, expenses, actions, causes of action whether in law or equity. In respect of death, injury or loss or damages, in my person or property however causes, arising or to arise by my participation in the said event, whether as a spectator, participant or otherwise, whether prior to, during or subsequent to the event, and notwithstanding that the same may have been contributed, or occasioned by, the negligence of any of the foresaid, I further hereby undertake to hold and save harmless and agree to indemnify the aforesaid from and against any and all liability incurred by all of them as a result of or in any way connected with, my participation in the said event. By submitting this entry I acknowledge having read, understood and agreed to the above waiver, release and indemnity.

Check box to accept these terms.