Clone of 2024 Walk and Pray Registration Form

CPC FOUNDATION 2025 WALK & PRAY CANCER AWARENESS REGISTRATION FORM

Date: May 24, 2025 Time: 10:00 am EST Venue: Paul Lawrence Dunbar High School Track Monument and Ensor Street
Name*

First NameLast Name
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
example@example.com
Contact Number:*

Area CodePhone Number
Shirt Size*
In case of emergency...
Emergency Contact:*

First NameLast Name
Relationship*
Contact Number*

Area CodePhone Number
Release and Waiver of Liability

This agreement releases The CPC Foundation from all liability relating to injuries that may occur at the Walk and Pray Event, May 24, 2025 at Paul Lawrence Dunbar High. By signing this agreement, I agree to hold The CPC Foundation entirely free from any liability, including financial responsibility for injuries incurred, regardless of whether injuries are caused by negligence.

I am participating voluntarily. I do not have any conditions that will increase my likelihood of experiencing injuries while engaging in this activity.

By signing below I forfeit all rights to bring a suit against The CPC Foundation for any reason. I will make every effort to obey safety precautions as listed in writing and as explained to me verbally. I will ask for clarification when needed.
Participant’s Signature*

Clear
Walk and Pray Cancer Awareness *

prevnext( X )
USDRegistration Fee
Should be Empty:

CPC FOUNDATION 2025 WALK & PRAY CANCER AWARENESS REGISTRATION FORM