2026 GAPTA Family Engagement Registration/Volunteer Form

Family Engagement Walk – Registration & Volunteer Sign-Up

Date: March 21, 2026 Time: 7.00am - 12pm Venue: The Morrow Center 1180 Southlake Circle Morrow Ga, 30260 familyengagement@georgiapta.org
Thank you for registering for the Family Engagement Walk! This event brings families, schools, and the community together for a fun and meaningful walk focused on connection, engagement, and support.

Please complete this form to register yourself and/or your family.
Name

First NameMiddle NameLast Name
E-mail
example@example.com
Contact Number
Format: (000) 000-0000.
Yes, I’d like to make a donationMaybe laterNo, thank you
Participant (Walking in the event)Volunteer (Helping during the event)Both – Volunteer and Participant
🎟 Early Registration

Youth (4–13): $5
Adults (14+): $10
Kids (0–3): FREE

⏰ Day-of-Event Pricing

Youth (4–13): $10
Adults (14+): $15
Adult Registration – $10Student / Youth – $5Kid Registration – Free
I understand that volunteering does not include participation in the walk.
Are you affiliated with a PTA/PTSA? If yes, please list the school's name (if applicable)
Number of participants you are registering (including yourself)
List names/ages of additional participants (if applicable)
In Case of Emergency
Emergency Contact:

First NameLast Name
Contact Number
Format: (000) 000-0000.
Event Information

• Date: Saturday, March 21, 2026

• Location: Southlake Mall – The Morrow Center

• Setup: 5:30 AM – 6:45 AM - All vehicles except food trucks should be moved from vendors location by 7:15am

• Registration: 7:00 AM – 7:45 AM

• Walk Time: 8:00 AM – 9:00 AM

• Meet & Greet GAPTA Chairs - 9:15am

• Specials guests, Sponsors, Vendors 9:30am -11:30am

• Event concludes no later than 12:30 PM
Mobility supportSensory-friendly supportSign language assistanceVisual assistanceOther (please specify)NONE
If other, please describe:
YesNo
SetupRegistration TableRoute SupportCheer Squad (encouraging walkers)Cleanup / End of EventSign Language / Accessibility Support
YesNo
School / College / Employer Name:
Release and Waiver of Liability - Assumption of Risk and Indemnity Agreement

Agreement Checkbox (Required)
I understand that participation in the Family Engagement Walk is voluntary and may include physical activity and/or volunteer duties such as setup, event support, route monitoring, cheering, and cleanup. I voluntarily assume all risks associated with participation and volunteering. I certify that I am physically able to participate or volunteer and agree to comply with all event rules, instructions, and safety guidelines. I hereby release, waive, and hold harmless Georgia PTA (GAPTA), event organizers, officers, directors, employees, volunteers, sponsors, partners, and affiliated organizations from any and all claims, liabilities, injuries, damages, or losses that may arise from my participation or volunteer service in this event. I acknowledge that this release applies to myself and any minor(s) registered under my name.I Agree
Date

MonthDayYear
Date
Signature

Powered by Jotform SignClear
I understand this is a donation and is non-refundable.

My Products

Adult Registration

Adult 14-up

$10.00 Quantity

Student / Youth

Student/Youth 4-13

$5.00 Quantity
Item subtotal:$0.00

Child Registration

Child 0-3 Free

$ Free Quantity

In-Kind Donations

Your voluntary donation helps strengthen family engagement and supports inclusive experiences for children and families in our community.

Recognition is based on the value of the contribution. All items are provided by the sponsor.

*Estimated dollar value is for reference only. Enter the value and select item/service you wish to donate or leave unchecked if not applicable. *

$1.00 Enter Value

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty:

Family Engagement Walk – Registration & Volunteer Sign-Up

Thank you for registering for the Family Engagement Walk! This event brings families, schools, and the community together for a fun and meaningful walk focused on connection, engagement, and support.

In Case of Emergency

Release and Waiver of Liability - Assumption of Risk and Indemnity Agreement