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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
Name of Walker/Family
*
First
Last
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
Phone
*
Email
*
Registration Option
Yes Register Me For Buddy Walk
No Thanks, I Just want to Donate Or Purchase a tshirt
Buddy Walk Registration Options
Individual ($10 per person)
Quantity
Price:
$10.00
Quantity
Household Ticket (up to 4 People)
Quantity
Price:
$30.00
Quantity
Additional Household Members (If Over 4 members)
Quantity
Price:
$10.00
Quantity
Additional household members are $5.00 each.
Memory T-Shirts
Select The size of Shirts you would Like (Up to as many as are in your part) Example 4 People Receive 4 shirts 1 person can choose one shirt. Additional shirts can be purchased.
Memory T-Shirt (YXS)
Quantity
Price:
$0.00
Quantity
Memory T-Shirt (YXS)
Quantity
Price:
$0.00
Quantity
Memory T-Shirt (YM)
Quantity
Price:
$0.00
Quantity
Memory T-Shirt (YL)
Quantity
Price:
$0.00
Quantity
Memory T-Shirt (S)
Quantity
Price:
$0.00
Quantity
Memory T-Shirt (M)
Quantity
Price:
$0.00
Quantity
Memory T-Shirt (L)
Quantity
Price:
$0.00
Quantity
Memory T-Shirt (XL)
Quantity
Price:
$0.00
Quantity
Memory T-Shirt (2XL)
Quantity
Price:
$0.00
Quantity
Memory T-Shirt (3XL)
Quantity
Price:
$0.00
Quantity
Donation
Please consider donating. Donate as much as you'd like.
Purchase Additonal Shirts?
Yes
No
Memory T-Shirts Additional
Wanting to purchase more T-Shirts?
Memory T-Shirt (YXS)
Quantity
Price:
$10.00
Quantity
Memory T-Shirt (YS)
Quantity
Price:
$10.00
Quantity
Memory T-Shirt (YM)
Quantity
Price:
$10.00
Quantity
Memory T-Shirt (YL)
Quantity
Price:
$10.00
Quantity
Memory T-Shirt (S)
Quantity
Price:
$10.00
Quantity
Memory T-Shirt (M)
Quantity
Price:
$10.00
Quantity
Memory T-Shirt (L)
Quantity
Price:
$10.00
Quantity
Memory T-Shirt (XL)
Quantity
Price:
$10.00
Quantity
Memory T-Shirt (2XL)
Quantity
Price:
$10.00
Quantity
Memory T-Shirt (3XL)
Quantity
Price:
$10.00
Quantity
Cover Transaction Fee
Yes, I would like to cover the Online Credit Card Transaction fee
Transaction Fee
Price:
$0.00
Total
WAIVER
*
In consideration of me and/or my minor child being permitted to participate in the Buddy Walk®, I do hereby - for myself, my heirs and personal representatives assume any and all risks which might be associated with the event(Buddy 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
51337
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