FAMILY HOPE WALK

November 3, 2018 at Dunnellon Trail (Rain** or shine)
(Trail is adjacent to Dunnellon Little League field, 12214 South Bridges Rd Dunnellon, FL 34432)
Registration: 9:00am | Walk: 10:00am
(**IF rain: Event will take place at First Baptist Church of Dunnellon Pavilion 20831 Powell Road, Dunnellon, FL 34431)

REGISTRATION FORM

Each participant must complete a Registration form
Registration Fee: $20 per participant
Payment Options: Check (payable to Family Hope Resource & Pregnancy Center); Credit/Debit Card or Cash (accepted only at our office, or on the day of the Walk).
Completed form and fee can be mailed/ or dropped off at the Family Hope Resource & Pregnancy Center,
20892 Second Ave., Dunnellon FL 34431. If you pay fee by Credit/Debit card through our website (highly recommend), just bring a copy of your receipt and completed Registration form to the Walk.

PLEDGES: Participants who desire to obtain pledges from family and friends must use the Pledge Form to track pledges. Each participant is required to collect pledged money prior to the Walk and bring completed Pledge Form & money collected to the Registration Table on the day of the Walk.

Waiver and Release:

In signing this waiver, I hereby waive and release and hold harmless the Family Hope Resource and Pregnancy Center or any other parties connected with this event in any way, singly or collectively from and against blame and liability for any injury, harm, loss, damage, or death hereby suffered or sustained by me as a result of my participation in the Family Hope Walk on November 3, 2018 event or any activities associated therewith. I grant full permission to use my name and photographs/images in which I may appear for any legitimate purpose, including advertising and promotion. If this Registration and Waiver is completed on behalf of a minor, the parent agrees to release and hold the above named organization or any other parties connected with this event harmless of any claims.

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