Name
*
First Name
Last Name
Email
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Stroll N' Roll Options
*
Strolling
Rolling
Donation
Registration Type
*
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Team Stroller/Roller
You are a member of a Stroll or Roll Team that requires you to fill in a Team Name below. Please select the correct quantity of Strollers/Rollers.
$
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
Individual Stroller/Roller
You are NOT a member of a Team and therefore have NO Team Name. Please select the correct quantity of Strollers/Rollers.
$
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
The Tomorrow Fund Family Team
You are a TTF Family and part of a Stroll or Roll Team that requires you to fill in a Team Name below. Registration Fee is $25 per TTF Family Household. Any additional team members pay $25 per person.
$
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
The Tomorrow Fund Family
You are a TTF Family and are NOT Strolling or Rolling as a Team, and therefore have NO Team Name. Registration Fee is $25 per TTF Family Household.
$
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
One Time Stroll Donation - enter a whole amount
$
1.00
Donation Amount
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Tell us the name of every Stroller/Roller you are registering today (if they are under the age of 10 please indicate that below as well)
*
Please specify the Patient's First and Last Name
Please specify the Full Name or Team you are supporting today
*
If applicable, please specify the Full Name or Team your one time donation is supporting . If you would prefer to make a donation In Memory/ In Honor, please list their name below.
RELEASE & WAIVER: By checking the box below, I acknowledge that my participation in The Tomorrow Fund Stroll is voluntary and may involve a risk of injury, including bodily injury, and assume the risk for same. On my own behalf and on behalf of my heirs and legal representatives and to the fullest extent permitted by law, I hereby fully release, remise, discharge and hold harmless The Tomorrow Fund, Garden City Center, Gateway Woodside, Inc. and their affiliates, officers, trustees, agents, representatives, successors and assigns together with every sponsor, organizer, and/or associated entity, individual or organization, whether individually or collectively, of and from any and all liability, for injury, death, or damages and/or any other claims, demands, losses or damages, incurred by me in connection with any aspect of The Tomorrow Fund Stroll at Garden City Center.
*
Requests/Comments
Please select your T-Shirt size (only select the quantity of T-Shirts you have paid for - one (1) T-Shirt per $25 Registration)
S
M
L
XL
XXL
T-Shirt Size
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