ENTER A CHILD (age 6-12)
Younger children need not be entered; older children use Adult Form
Child - Full Name
Child - Age
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Parent or Guardian
State / Province
Postal / Zip Code
Waiver: In consideration of accepting entry for this event, I hereby waive and release any and all claims for my child that I may have against any and all persons and organizations affiliated with this event. Including, but not limited to the Pfeiffer Nature Center, Town of Portville, and all sponsors and private landowners while participating, traveling to or from the Woods Walk event. I further attest that I am physically fit and have trained sufficiently for the event chosen.
I authorize Pfeiffer Nature Center to use my child's photo(s) from this year (and past years if you participated) for website and advertising purposes?
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Your entry is not complete until we receive payment.
Click PAY NOW to pay online or PRINT FORM and mail with your check.
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