SUFF.Impact Gun Violence Awareness Walk Participant Registration Form

SUFF.Impact Gun Violence Awareness Walk Participant Registration Form

Please complete the form below for each person that will participate in the walk regardless of age.
- Participant Name
  
  First NameLast Name
- Gender
- Age
- Mobile Phone
  Format: (000) 000-0000.
- E-mail
  example@example.com
- Medical Problems/ Allergies
- Name
  
  First NameLast Name
- Home Phone
  Format: (000) 000-0000.
- Mobile Phone
  Format: (000) 000-0000.
- I, the undersigned participant, acknowledge that I am voluntarily participating in the SUFF. Impact Gun Violence Awareness Walk on June 6, 2026. I understand that participation in this event involves physical activity and may carry certain risks, including but not limited to injury, illness, or unforeseen incidents.
  
  I hereby release, waive, and discharge SUFF. Impact, its organizers, volunteers, sponsors, and affiliates from any and all liability, claims, demands, or causes of action that may arise from my participation in this event.
  
  I certify that I am physically able to participate and agree to follow all event rules and instructions. I also grant permission for event organizers to use photos or videos taken during the event for promotional purposes.
- By signing and submitting this registraiton form, you understand and agree to all policies.
- Signature- (Parent/Guardian)
  
  First NameLast Name
- Today's Date
  
  MonthDayYear
  Date
- Should be Empty: