Registration To register for the walk, just fill out the form below! T-shirts will be included with registration for everyone who registers by Sunday, October 7th. You're welcome to register after that, but t-shirts won't be available. Your name* First Last Email* Phone*RegistrationAdult registration Price: $ 20.00 Number of adults?College registration Price: $ 15.00 Number of students?Child registration (ages 3-12) Price: $ 12.00 Number of children?T-shirtsPlease only select one t-shirt size per person you're registering. One shirt per person is included.Youth smallYouth MediumYouth LargeSmallMediumLargeExtra large2XL3XLPayment detailsBy agreeing, you accept this waiver and disclaimer on behalf of all those registered with you. By participating in this event, I do so at my own risk. I assume all risk of injury, illness, damage or loss to me or my property that might result, including without limitation, any loss or theft or personal property. I acknowledge that I have read this waiver and fully understand that it is a release of liability. By my signature below, I am waiving any right I might have to bring legal action to assert a claim against Highland Baptist Church.* I agree Total $ 0.00 Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name EmailThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.
