2025 Mental Health Awareness Walk Registration Form

2025 Walk Registration Form

Come on out and walk with us on Saturday, May 17th! Please provide the requested information below to register. You may register up to 4 walkers using this one form. Please submit an additional form if you need to add more. You will receive a copy of this form along with Walk Day instructions via email. Thank you for helping us WALK IT OUT for Mental Health Awareness!
Walk Location
Your Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Walker #1
Yourself
Walker #2
Walker #3
Walker #4
Liability Waiver

By submitting this registration form I understand and agree that my participation and the participation of anyone I have listed above is voluntary and that I/we are responsible for the safety of myself and any of my/our associated participants. By signing below, I agree that I have the consent of the listed participants and that I/we release Preventive Measures/The PM Foundation from any and all liability that could arise from my/our participation in this event.
Signature*
Questions?
Please email Paula Gonzalez at pgonzalez@thepmfoundation.org.
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2025 Walk Registration Form