SPECIAL OLYMPICS BAHAMAS AWARENESS WALK

PART 1 - INDIVIDUAL REGISTRATION FORM
Individuals wishing to purchase Special Olympics Bahamas T-Shirts may do so by visiting the office on Dolphin Drive, Mondays and Wednesdays between the hours of 10am - 2pm.
Participant's Name:
Phone:
Format: (000) 000-0000.
Email:
example@example.com
Emergency Contact Name
Emergency Contact Phone Number:
Format: (000) 000-0000.
LIABILITY WAIVER
By taking part in this event, ALL PARTICIPANTS agree to hold harmless Special Olympics Bahamas, its agents, members, sponsors, vendors or any other entities from loss, damage or injury resulting from participation in this event.
Individuals are encouraged to select one of the categories below or to make a donation of ANY amount.

Participant - $10.00Contributor - $50Donor - $250Other Amount: $_______________
PAYMENT METHOD:

CASHCHEQUEBANK TRANSFER
- Cash and cheque payments can be made at the Special Olympics Bahamas Office: # 24 Dolphin Drive, Nassau, The Bahamas, Mondays and Wednesdays 10am - 2pm. Please make cheques payable to Special Olympics Bahamas
- Bank Transfer Instructions:
  Bank Name - CIBC Caribbean
  Branch - Palmdale - 09786
  Swift Code - FCIBBSNS
  Account Number - 61825313
  Account Name - Special Olympics Bahamas
Upload Payment Transfer Receipt

Cancelof
Participant Signature
Date:

MonthDayYear
Date
PART 2 - GROUP REGISTRATION FORM

GROUP LEADER/REPRESENTATIVE MUST COMPLETE THIS FORM FOR THE ENTIRE GROUP

Groups are encouraged to wear their organization branded shirts.
Group Leader/Representative Name:
No. of Participants
Group Leader/Representative Cell:
Format: (000) 000-0000.
Other Preferred Contact:
Email Address:
example@example.com
LIABILITY WAIVER
By taking part in this event, ALL PARTICIPANTS agree to hold harmless Special Olympics Bahamas, its agents, members, sponsors, vendors or any other entities from loss, damage or injury resulting from participation in this event.
Groups/organizations are encouraged to select one of the following categories or choose to donate any amount they wish.
Donation Amount

$250.00$500.00$1,000Other
PAYMENT METHOD:

CASHCHEQUEBANK TRANSFER
- Cash and cheque payments can be made at the Special Olympics Bahamas Office: # 24 Dolphin Drive, Nassau, The Bahamas Mondays and Wednesdays 10am - 2pm. Please make cheques payable to Special Olympics Bahamas
- Bank Transfer Instructions:
  Bank Name - CIBC Caribbean
  Branch - Palmdale - 09786
  Swift Code - FCIBBSNS
  Account Number - 61825313
  Account Name - Special Olympics Bahamas
Group Leader/Rep. Signature
Upload Payment Transfer Receipt

Cancelof
Date:

MonthDayYear
Date
Should be Empty:

LIABILITY WAIVER

LIABILITY WAIVER