Walk for Parker Virtual Registration Form

Walk for Parker 2025 Virtual Registration Form

Please fill out your information below to register for this virtual event.
PLEASE READ CAREFULLY

First off, we want to say thank you so much for wanting to participate in the Walk for Parker. Our family is so grateful and honored that you are helping us raise money for Hand to Hold, Little Giraffe Foundation, A Butterfly's Journey, Parker Memory Bags, and to give other families the comfort they need the most during such a hard time. With that said, please read the below agreement and rules before signing up. Thank you!

By Signing Up Below I/We understand:

-This is a 501c3 not-for-profit charity event, and all proceeds will be donated to Molly Bears, Hand to Hold, Little Giraffe Foundation, A Butterfly's Journey, and towards Parker Memory Bags.

-This is a 3k walk/5k run event to be held virtually from your own home.

-What does virtual mean? Virtual means we will be holding the walk/run on the original date but we will be holding it via Facebook Live. We ask for everyone to wear their Walk for Parker shirts (from any year) and take a picture with your group and post it on our FB page. We ask for all of you to walk the 3k (1.86 miles) or run the 5k (3.11 miles) at your own convenience and post your journey/results on our FB page.

-Entry fee is $35.

-There will be a live stream that starts at 9am Central Time on our Facebook page [www.facebook.com/walkforparker] on Saturday, October 4, 2025. We ask for everyone to log in and attend. As well as post your pictures with your Walk for Parker shirts on!

Thank you so much, The Operzedek - Meyer Family

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Section A: Primary Participants Information
YesNo
Primary Participant's Name*

First NameLast Name
Birthdate*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
E-mail Address*
Home Phone Number*

Area CodePhone Number
Section B: Additional Participants
Please fill out the names of the additional participates/family members participating in this event below. DO NOT include yourself & DO NOT include those that are 12 years old and under.

____________________________________________________________________________
Participant 1

First NameLast Name
Birthdate

MonthDayYear
_________________________________________________________________________________
Participant 2

First NameLast Name
Birthdate

MonthDayYear
____________________________________________________________________________
Participant 3

First NameLast Name
Birthdate

MonthDayYear
____________________________________________________________________________
Participant 4

First NameLast Name
Birthdate

MonthDayYear
____________________________________________________________________________
Participant 5

First NameLast Name
Birthdate

MonthDayYear
____________________________________________________________________________
Participant 6

First NameLast Name
Birthdate

MonthDayYear
Section C: Total Number of Participants

Please fill out the question below.
____________________________________________________________________________

Please fill in below the total number of participants you have participating in this event. [MUST INCLUDE YOURSELF]

____________________________________________________________________________
Please INCLUDE yourself.
Section D: Children 12 and Under

Please fill out the questions below.
Are there any children 12 and under, in your family, that will be participating in this event?*
If yes, how many?
Please fill out how many total children 12 and under that will be attending
Please enter ALL the children 12 and under that will be participating by entering their first and last name in the box(es) below.
Child #1
Child #2
Child #3
Child #4
Child #5
Child #6
Section E: eSignature

Do not e-sign until you have read and understood the above rules and regulations.
By my eSignature below, I certify that I have read, fully understand and accept all terms of the foregoing statement. Please signify your acceptance by entering your full name in the box below.*
Please type your full name
I accept the terms listed in the agreement above
Section F: Additional Add-Ons

Do you wish to make a donation or purchase t-shirts, bags, or bracelets?
If you wish to make any additional donations to Walk for Parker, please enter a dollar amount below.
____________________________________________________________________________

If you wish to purchase any t-shirts, please enter the total number of each t-shirts below.

Each t-shirt costs $25. This includes shipping costs.

____________________________________________________________________________
Adult Men's Small
Adult Men's Medium
Adult Men's Large
Adult Men's X-Large
Your Total $
____________________________________________________________________________

If you wish to purchase any drawstring bags, please enter the total number below.

Each bag costs $12. This includes shipping costs.

____________________________________________________________________________
Bags
Your Total $
____________________________________________________________________________

If you wish to purchase any bracelets, please enter the total number below.

Each bracelet costs $4. This includes shipping costs.

____________________________________________________________________________
Blue Bracelets
Red Bracelets
Your Total $
Section H: Check-Out

Please review final information and enter payment.
Entry Fee Total $
Additional T-Shirts $
Additional Bracelets $
Additional Bags $
Additional Donations to Walk for Parker $
Your Final Total $
*PLEASE REVIEW YOUR FINAL TOTAL ABOVE AND ENTER IN THAT AMOUNT INTO THE FINAL TOTAL BOX BELOW. (POWERED BY PAYPAL)
Your Final Total $*

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USDThis is a donation for the Walk for Parker. We are a non-profit organization.
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Walk for Parker 2025 Virtual Registration Form

Section A: Primary Participants Information

Section B: Additional Participants

Section C: Total Number of Participants

Section D: Children 12 and Under

Section E: eSignature

Section F: Additional Add-Ons

Section H: Check-Out