Walk A Mile In Her Shoes Registration

Walk A Mile In Her Shoes

Event Registration

Please fill in the form below to register for the event online automatically. If you wish to download, print & send the form in manually, please click here.

Once you’ve completed the event, please forward donations by the following means:

– Interac E-transfer to [email protected]. Please be sure to include in the comments WAM 2021 and the participant’s name.
– Online via Canada Helps through this link here.
– ATB Cares

Walk A Mile Online Registration Form:

Your Name*
First Last
Are you over 18 years of age?*
- Yes
- No
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Your Phone Number*
Email*
Shoe Size*
Team Name (If Applicable)
**PLEASE READ CAREFULLY-WALK A MILE WAIVER**

In consideration of my entry in the Walk A Mile event I, for myself, my heirs, my executors and administrators waive and release any and all rights and claims for damages I have or may have hereafter against the organizers of this event, its participants, its employees, all sponsors and their representatives and all claims of damages, demands, actions, whatsoever in any manner, as a result of my participation in the event, including travel to and from this event. I attest and verify that I am physically fit and have sufficiently trained for participation in this event and I have not been advised otherwise by qualified medical personnel. Further, I hereby grant full permission to any and all of the foregoing to use my name and likeness in any broadcast, telecast, video or print media of this event without competition.
Signature of Participant
Signature of Parent or Guardian*
Name of Parent or Guardian*
First Last
Witness Signature*
Witness Name*
First Last

91846

Nov

01

Walk of Hope

November is Family Violence Prevention Month in Alberta Please join us in our 10th Annual "Walk of Hope"

When: Friday, November 1st
See More

Nov

19

2019 AGM

Capella Centre cordially invites members, volunteers, community partners, and the public to our 35th ANNUAL GENERAL MEETING Tuesday, November 19th, 2019 6:30-7:00 PM Please ca...

Walk A Mile In Her Shoes

Event Registration

Walk A Mile Online Registration Form:

01

Walk of Hope

19

2019 AGM

Get In Touch