Registration To register for the walk, just fill out the form below! Your name* First Last Email* Phone*RegistrationAdult registration Price: Number of adults?College registration Price: Number of students?Child registration (ages 3-12) Price: 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 Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Credit CardCard Details Cardholder Name CommentsThis field is for validation purposes and should be left unchanged.
