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Ups of Downs
Ups of Downs
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About Us
Awareness Walk
Donations
News
Resources
Contact Us
Buddy Walk Registration
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Buddy Walk Registration
"
*
" indicates required fields
Total Number of Walkers
Quantity
*
Price:
$15.00
Quantity
Registration Fee: $15 Per Person
Register by August 24th to guarantee a t-shirt – plus, you’ll be pre-registered for the walk! Each registration includes the walk, t-shirt, lunch and all activities.
Name of Attendee/Family
*
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Email
*
T-Shirt: Please select your size and quantity per number of walkers
Adult Men's T-Shirts
Adult Men's Small
Quantity
Price:
$0.00
Quantity
Adult Men's Medium
Quantity
Price:
$0.00
Quantity
Adult Men's Large
Quantity
Price:
$0.00
Quantity
Adult Men's XL
Quantity
Price:
$0.00
Quantity
Adult Men's 2XL
Quantity
Price:
$0.00
Quantity
Adult men's 3XL
Quantity
Price:
$0.00
Quantity
Adult Women's T-Shirts
Adult Women's Small
Quantity
Price:
$0.00
Quantity
Adult Women's Medium
Quantity
Price:
$0.00
Quantity
Adult Women's Large
Quantity
Price:
$0.00
Quantity
Adult Women's XL
Quantity
Price:
$0.00
Quantity
Adult Women's 2XL
Quantity
Price:
$0.00
Quantity
Adult Women's 3XL
Quantity
Price:
$0.00
Quantity
Youth T-Shirts
Youth Small (6-8)
Quantity
Price:
$0.00
Quantity
Youth Medium (10-12)
Quantity
Price:
$0.00
Quantity
Youth Large (14-16)
Quantity
Price:
$0.00
Quantity
Total
WAIVER
*
In consideration of me and/or my minor child being permitted to participate in the Walk, I do hereby - for myself, my heirs and personal representatives assume any and all risks which might be associated with the event (Walk). I further waive, release, discharge and covenant not to sue Ups of Downs Family Support Group, its officers, employees, sponsors, organizers, volunteers, other representatives or their successors and assigns, for any and all injuries or damages of any kind whatsoever suffered by myself and/or my minor child as a result of taking part in the events and any related activities. I also authorize the use by Ups of Downs Family Support Group of any photo, film or videotape taken of me or my minor child at the event for any purpose
I accept
I do not accept
Credit Card
*
Card Details
Cardholder Name
73612
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