2019 Walk Registration Get Involved 2019 Walk Registration Step 1 of 2 50% Main ContactName* First Last Email* PhoneParticipant InfoTeam or Family Name (if applicable)Adult ParticipantsParticipants (18 and Over) Price: $25.00 Quantity: Adult Participant Name T-Shirt Size Edit Delete There are no Adult Participants. Add Adult Participant Maximum number of adult participants reached. Child ParticipantsParticipants (Under 18) Price: $0.00 Quantity: Child Participants Name Edit Delete There are no Child Participants. Add Child Participant Maximum number of child participants reached. Additional DonationAdditional Donation WaiverCaterina Walk for Life Release and Waiver of Liability By checking this box, I acknowledge that all participants have read and agree to the waiver below. In consideration of your accepting this entry, I, intending to be legally bound hereby for myself, my heirs, my executors and administrators, waive and release any and all rights and claims for damages I may have against the Caterina Grace Foundation, Eisenhower Park, and their representations, successors and assigns for any and all injuries suffered by me in said event. I attest and further verify that I am physically fit and sufficiently trained for the completion of this event and my physical condition has been verified by a licensed physician. Further, I hereby grant full permission to any and all of the foregoing to use my photographs, videotapes, motion pictures, recordings or any other record of this event for any purpose whatsoever. Total $0.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name This iframe contains the logic required to handle Ajax powered Gravity Forms.