2017 Health Walk & Fair Registration Form

Type *

Race Participant Volunteer Vendor

Thank you for participating in the Northwest Health Walk & Fair! Your participation is an integral part of our efforts to revitalize our community. Please take a moment to complete the registration form. We will not distribute or release any information provided on this form.

The undersigned participant does hereby release and discharge Northwest Community Consortium, Inc. its officers, directors, and employees from any and all claims, demands, losses, costs, expenses, suits, damage, obligations, liabilities, causes of action and judgements whatsoever, in law or in equity, which the undersigned participant may have arising out of, or in connection with participation in this event. The undersigned does hereby assume any and all risks of personal injuries, including death and damage or loss to property, caused by or arising out of the participation in this event. The undersigned participant does hereby give permission to be photographed by the event organizers or news media for any manner of publication including, but not limited to newspaper, event sponsors’ newsletters or websites.

Name of organization if participating with a group

Full Name *

Prefix First Name Last Name

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

E-mail *

Gender

I, the undersigned, agree to the above and waiver of liability

Signature (Signature of parent or legal guardian if under 18)

Signature (Signature of adult responsible for student group)

Volunteer Guidelines

Arrive at 7:30AM

Please make sure you sign in at the registration table when you arrive and receive the necessary assignment instructions.

Participants may be working in sunny, hot, or cold conditions. It is strongly recommended that you wear protective clothing, closed-toe shoes such as sneakers and hats for sun protection. Insect repellent and sunscreen are also recommended.

No consumption of intoxicating liquids, beverages, or illegal drugs will be allowed during the event or other community activity.

Do not lift anything too heavy.