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Iowa SIDS Foundation
406 SW School St., Ste. 205
Ankeny, IA 50023
Phone: 515-965-7655
Toll Free: 866-480-4741
Email for Information
Email for Sales
 

Walk for the Future 2008 Registration 

To register for the Walk for the Future on Saturday, August 23, 2008 complete this online registration form and click the SUBMIT button at the bottom. On the next screen you can order your t-shirt size and pay for your registration.

Name:


Street Address:


City / State / Zip Code:
      

Telephone Number:


E-mail Address:


Location (check one)
:
 


Names of additional walkers you wish to register now
:


 

Walking in Memory of:

 

Check all that apply:

I would like to volunteer, please call me.

Please send me more information about

Please send me your newsletter (published 3 times a year).

 

 

Release and Waiver Statement:

 

When you arrive at the walk you will be asked to sign the following statement:

 

In consideration of acceptance of this entry, I hereby, for myself, my heirs, executors and administrators, waive and release any and all rights and claims for damages I may have or thereafter accrue to me against all sponsors, contributors, and individuals associated with the event, its agencies, representatives, successors and assignees for any and all injuries suffered by me, while taking part in the event. I attest and verify that I have full knowledge of the risks involved in this event and I am physically fit and sufficiently trained to participate in the event. I give my permission for the free use of my name and picture in any broadcast or print media account of this event.

 

When you click Submit, you will be able to order your t-shirt/sweatshirt sizes and pay for your registration online.

 

 

 

 

    

 

 

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