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Walk-a-Thon May 28th, 2022

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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Team Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
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- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email: REQUIRED Please fill out this field. Please enter an email address.
- Participants REQUIRED Please fill out this field.
  
  Participant 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field.
  
  Registration fee REQUIRED 20.0 – Adult 10.0 – Child Please fill out this field.
  
  ACCIDENT WAIVER AND RELEASE OF LIABILITY
  
  I understand that my participation in the ‘Walk 4 the Mission” Walk-a-thon is voluntary and at my own risk. Under no circumstances will the Missionary Society of St. Paul, its staff, directors, volunteers, or its Associates be responsible for any injury or damages incurred by me or my property. I agree to permit the free use of my name and picture in any broadcast, telecast, or other account of this event.
  I Agree Please select this field.
  
  How did you hear about the Walk-a-Thon? REQUIRED Friend AMSP Member Catholic Herald Church Bulletin Visitor at Church/Bazaar/Event Pastor Other Please fill out this field.
  
  Participant 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field.
  
  Registration fee REQUIRED 20.0 – Adult 10.0 – Child Please fill out this field.
  
  ACCIDENT WAIVER AND RELEASE OF LIABILITY
  
  I understand that my participation in the ‘Walk 4 the Mission” Walk-a-thon is voluntary and at my own risk. Under no circumstances will the Missionary Society of St. Paul, its staff, directors, volunteers, or its Associates be responsible for any injury or damages incurred by me or my property. I agree to permit the free use of my name and picture in any broadcast, telecast, or other account of this event.
  I Agree Please select this field.
  
  How did you hear about the Walk-a-Thon? REQUIRED Friend AMSP Member Catholic Herald Church Bulletin Visitor at Church/Bazaar/Event Pastor Other Please fill out this field.
  
  Participant 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field.
  
  Registration fee REQUIRED 20.0 – Adult 10.0 – Child Please fill out this field.
  
  ACCIDENT WAIVER AND RELEASE OF LIABILITY
  
  I understand that my participation in the ‘Walk 4 the Mission” Walk-a-thon is voluntary and at my own risk. Under no circumstances will the Missionary Society of St. Paul, its staff, directors, volunteers, or its Associates be responsible for any injury or damages incurred by me or my property. I agree to permit the free use of my name and picture in any broadcast, telecast, or other account of this event.
  I Agree Please select this field.
  
  How did you hear about the Walk-a-Thon? REQUIRED Friend AMSP Member Catholic Herald Church Bulletin Visitor at Church/Bazaar/Event Pastor Other Please fill out this field.
  
  Participant 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field.
  
  Registration fee REQUIRED 20.0 – Adult 10.0 – Child Please fill out this field.
  
  ACCIDENT WAIVER AND RELEASE OF LIABILITY
  
  I understand that my participation in the ‘Walk 4 the Mission” Walk-a-thon is voluntary and at my own risk. Under no circumstances will the Missionary Society of St. Paul, its staff, directors, volunteers, or its Associates be responsible for any injury or damages incurred by me or my property. I agree to permit the free use of my name and picture in any broadcast, telecast, or other account of this event.
  I Agree Please select this field.
  
  How did you hear about the Walk-a-Thon? REQUIRED Friend AMSP Member Catholic Herald Church Bulletin Visitor at Church/Bazaar/Event Pastor Other Please fill out this field.
  
  Participant 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field.
  
  Registration fee REQUIRED 20.0 – Adult 10.0 – Child Please fill out this field.
  
  ACCIDENT WAIVER AND RELEASE OF LIABILITY
  
  I understand that my participation in the ‘Walk 4 the Mission” Walk-a-thon is voluntary and at my own risk. Under no circumstances will the Missionary Society of St. Paul, its staff, directors, volunteers, or its Associates be responsible for any injury or damages incurred by me or my property. I agree to permit the free use of my name and picture in any broadcast, telecast, or other account of this event.
  I Agree Please select this field.
  
  How did you hear about the Walk-a-Thon? REQUIRED Friend AMSP Member Catholic Herald Church Bulletin Visitor at Church/Bazaar/Event Pastor Other Please fill out this field.
  
  Participant 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field.
  
  Registration fee REQUIRED 20.0 – Adult 10.0 – Child Please fill out this field.
  
  ACCIDENT WAIVER AND RELEASE OF LIABILITY
  
  I understand that my participation in the ‘Walk 4 the Mission” Walk-a-thon is voluntary and at my own risk. Under no circumstances will the Missionary Society of St. Paul, its staff, directors, volunteers, or its Associates be responsible for any injury or damages incurred by me or my property. I agree to permit the free use of my name and picture in any broadcast, telecast, or other account of this event.
  I Agree Please select this field.
  
  How did you hear about the Walk-a-Thon? REQUIRED Friend AMSP Member Catholic Herald Church Bulletin Visitor at Church/Bazaar/Event Pastor Other Please fill out this field.
  
  Participant 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field.
  
  Registration fee REQUIRED 20.0 – Adult 10.0 – Child Please fill out this field.
  
  ACCIDENT WAIVER AND RELEASE OF LIABILITY
  
  I understand that my participation in the ‘Walk 4 the Mission” Walk-a-thon is voluntary and at my own risk. Under no circumstances will the Missionary Society of St. Paul, its staff, directors, volunteers, or its Associates be responsible for any injury or damages incurred by me or my property. I agree to permit the free use of my name and picture in any broadcast, telecast, or other account of this event.
  I Agree Please select this field.
  
  How did you hear about the Walk-a-Thon? REQUIRED Friend AMSP Member Catholic Herald Church Bulletin Visitor at Church/Bazaar/Event Pastor Other Please fill out this field.
  
  Participant 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field.
  
  Registration fee REQUIRED 20.0 – Adult 10.0 – Child Please fill out this field.
  
  ACCIDENT WAIVER AND RELEASE OF LIABILITY
  
  I understand that my participation in the ‘Walk 4 the Mission” Walk-a-thon is voluntary and at my own risk. Under no circumstances will the Missionary Society of St. Paul, its staff, directors, volunteers, or its Associates be responsible for any injury or damages incurred by me or my property. I agree to permit the free use of my name and picture in any broadcast, telecast, or other account of this event.
  I Agree Please select this field.
  
  How did you hear about the Walk-a-Thon? REQUIRED Friend AMSP Member Catholic Herald Church Bulletin Visitor at Church/Bazaar/Event Pastor Other Please fill out this field.
  
  Participant 9
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field.
  
  Registration fee REQUIRED 20.0 – Adult 10.0 – Child Please fill out this field.
  
  ACCIDENT WAIVER AND RELEASE OF LIABILITY
  
  I understand that my participation in the ‘Walk 4 the Mission” Walk-a-thon is voluntary and at my own risk. Under no circumstances will the Missionary Society of St. Paul, its staff, directors, volunteers, or its Associates be responsible for any injury or damages incurred by me or my property. I agree to permit the free use of my name and picture in any broadcast, telecast, or other account of this event.
  I Agree Please select this field.
  
  How did you hear about the Walk-a-Thon? REQUIRED Friend AMSP Member Catholic Herald Church Bulletin Visitor at Church/Bazaar/Event Pastor Other Please fill out this field.
  
  Participant 10
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field.
  
  Registration fee REQUIRED 20.0 – Adult 10.0 – Child Please fill out this field.
  
  ACCIDENT WAIVER AND RELEASE OF LIABILITY
  
  I understand that my participation in the ‘Walk 4 the Mission” Walk-a-thon is voluntary and at my own risk. Under no circumstances will the Missionary Society of St. Paul, its staff, directors, volunteers, or its Associates be responsible for any injury or damages incurred by me or my property. I agree to permit the free use of my name and picture in any broadcast, telecast, or other account of this event.
  I Agree Please select this field.
  
  How did you hear about the Walk-a-Thon? REQUIRED Friend AMSP Member Catholic Herald Church Bulletin Visitor at Church/Bazaar/Event Pastor Other Please fill out this field.
  
  Participant 11
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field.
  
  Registration fee REQUIRED 20.0 – Adult 10.0 – Child Please fill out this field.
  
  ACCIDENT WAIVER AND RELEASE OF LIABILITY
  
  I understand that my participation in the ‘Walk 4 the Mission” Walk-a-thon is voluntary and at my own risk. Under no circumstances will the Missionary Society of St. Paul, its staff, directors, volunteers, or its Associates be responsible for any injury or damages incurred by me or my property. I agree to permit the free use of my name and picture in any broadcast, telecast, or other account of this event.
  I Agree Please select this field.
  
  How did you hear about the Walk-a-Thon? REQUIRED Friend AMSP Member Catholic Herald Church Bulletin Visitor at Church/Bazaar/Event Pastor Other Please fill out this field.
  
  Participant 12
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field.
  
  Registration fee REQUIRED 20.0 – Adult 10.0 – Child Please fill out this field.
  
  ACCIDENT WAIVER AND RELEASE OF LIABILITY
  
  I understand that my participation in the ‘Walk 4 the Mission” Walk-a-thon is voluntary and at my own risk. Under no circumstances will the Missionary Society of St. Paul, its staff, directors, volunteers, or its Associates be responsible for any injury or damages incurred by me or my property. I agree to permit the free use of my name and picture in any broadcast, telecast, or other account of this event.
  I Agree Please select this field.
  
  How did you hear about the Walk-a-Thon? REQUIRED Friend AMSP Member Catholic Herald Church Bulletin Visitor at Church/Bazaar/Event Pastor Other Please fill out this field.
  
  Participant 13
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field.
  
  Registration fee REQUIRED 20.0 – Adult 10.0 – Child Please fill out this field.
  
  ACCIDENT WAIVER AND RELEASE OF LIABILITY
  
  I understand that my participation in the ‘Walk 4 the Mission” Walk-a-thon is voluntary and at my own risk. Under no circumstances will the Missionary Society of St. Paul, its staff, directors, volunteers, or its Associates be responsible for any injury or damages incurred by me or my property. I agree to permit the free use of my name and picture in any broadcast, telecast, or other account of this event.
  I Agree Please select this field.
  
  How did you hear about the Walk-a-Thon? REQUIRED Friend AMSP Member Catholic Herald Church Bulletin Visitor at Church/Bazaar/Event Pastor Other Please fill out this field.
  
  Participant 14
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field.
  
  Registration fee REQUIRED 20.0 – Adult 10.0 – Child Please fill out this field.
  
  ACCIDENT WAIVER AND RELEASE OF LIABILITY
  
  I understand that my participation in the ‘Walk 4 the Mission” Walk-a-thon is voluntary and at my own risk. Under no circumstances will the Missionary Society of St. Paul, its staff, directors, volunteers, or its Associates be responsible for any injury or damages incurred by me or my property. I agree to permit the free use of my name and picture in any broadcast, telecast, or other account of this event.
  I Agree Please select this field.
  
  How did you hear about the Walk-a-Thon? REQUIRED Friend AMSP Member Catholic Herald Church Bulletin Visitor at Church/Bazaar/Event Pastor Other Please fill out this field.
  
  Participant 15
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field.
  
  Registration fee REQUIRED 20.0 – Adult 10.0 – Child Please fill out this field.
  
  ACCIDENT WAIVER AND RELEASE OF LIABILITY
  
  I understand that my participation in the ‘Walk 4 the Mission” Walk-a-thon is voluntary and at my own risk. Under no circumstances will the Missionary Society of St. Paul, its staff, directors, volunteers, or its Associates be responsible for any injury or damages incurred by me or my property. I agree to permit the free use of my name and picture in any broadcast, telecast, or other account of this event.
  I Agree Please select this field.
  
  How did you hear about the Walk-a-Thon? REQUIRED Friend AMSP Member Catholic Herald Church Bulletin Visitor at Church/Bazaar/Event Pastor Other Please fill out this field.
  
  Participant 16
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field.
  
  Registration fee REQUIRED 20.0 – Adult 10.0 – Child Please fill out this field.
  
  ACCIDENT WAIVER AND RELEASE OF LIABILITY
  
  I understand that my participation in the ‘Walk 4 the Mission” Walk-a-thon is voluntary and at my own risk. Under no circumstances will the Missionary Society of St. Paul, its staff, directors, volunteers, or its Associates be responsible for any injury or damages incurred by me or my property. I agree to permit the free use of my name and picture in any broadcast, telecast, or other account of this event.
  I Agree Please select this field.
  
  How did you hear about the Walk-a-Thon? REQUIRED Friend AMSP Member Catholic Herald Church Bulletin Visitor at Church/Bazaar/Event Pastor Other Please fill out this field.
  
  Participant 17
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field.
  
  Registration fee REQUIRED 20.0 – Adult 10.0 – Child Please fill out this field.
  
  ACCIDENT WAIVER AND RELEASE OF LIABILITY
  
  I understand that my participation in the ‘Walk 4 the Mission” Walk-a-thon is voluntary and at my own risk. Under no circumstances will the Missionary Society of St. Paul, its staff, directors, volunteers, or its Associates be responsible for any injury or damages incurred by me or my property. I agree to permit the free use of my name and picture in any broadcast, telecast, or other account of this event.
  I Agree Please select this field.
  
  How did you hear about the Walk-a-Thon? REQUIRED Friend AMSP Member Catholic Herald Church Bulletin Visitor at Church/Bazaar/Event Pastor Other Please fill out this field.
  
  Participant 18
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field.
  
  Registration fee REQUIRED 20.0 – Adult 10.0 – Child Please fill out this field.
  
  ACCIDENT WAIVER AND RELEASE OF LIABILITY
  
  I understand that my participation in the ‘Walk 4 the Mission” Walk-a-thon is voluntary and at my own risk. Under no circumstances will the Missionary Society of St. Paul, its staff, directors, volunteers, or its Associates be responsible for any injury or damages incurred by me or my property. I agree to permit the free use of my name and picture in any broadcast, telecast, or other account of this event.
  I Agree Please select this field.
  
  How did you hear about the Walk-a-Thon? REQUIRED Friend AMSP Member Catholic Herald Church Bulletin Visitor at Church/Bazaar/Event Pastor Other Please fill out this field.
  
  Participant 19
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field.
  
  Registration fee REQUIRED 20.0 – Adult 10.0 – Child Please fill out this field.
  
  ACCIDENT WAIVER AND RELEASE OF LIABILITY
  
  I understand that my participation in the ‘Walk 4 the Mission” Walk-a-thon is voluntary and at my own risk. Under no circumstances will the Missionary Society of St. Paul, its staff, directors, volunteers, or its Associates be responsible for any injury or damages incurred by me or my property. I agree to permit the free use of my name and picture in any broadcast, telecast, or other account of this event.
  I Agree Please select this field.
  
  How did you hear about the Walk-a-Thon? REQUIRED Friend AMSP Member Catholic Herald Church Bulletin Visitor at Church/Bazaar/Event Pastor Other Please fill out this field.
  
  Participant 20
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  T-Shirt Size REQUIRED Please fill out this field.
  
  Registration fee REQUIRED 20.0 – Adult 10.0 – Child Please fill out this field.
  
  ACCIDENT WAIVER AND RELEASE OF LIABILITY
  
  I understand that my participation in the ‘Walk 4 the Mission” Walk-a-thon is voluntary and at my own risk. Under no circumstances will the Missionary Society of St. Paul, its staff, directors, volunteers, or its Associates be responsible for any injury or damages incurred by me or my property. I agree to permit the free use of my name and picture in any broadcast, telecast, or other account of this event.
  I Agree Please select this field.
  
  How did you hear about the Walk-a-Thon? REQUIRED Friend AMSP Member Catholic Herald Church Bulletin Visitor at Church/Bazaar/Event Pastor Other Please fill out this field.
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