Registration Form
Please fill out this form to register for the walk
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Will you be bringing any children to the walk?
*
Yes
No
If yes, please list the names and ages of the children attending.
Participation Agreement & Waiver
Health & Physical Needs:
I acknowledge that I am responsible for assessing my own physical fitness and for consulting a qualified healthcare professional if necessary prior to participating in the walk. I understand that Mamastay, Trail Blazing Mom, and volunteer leaders are not medical professionals and are not responsible for any pre-existing medical conditions, injuries, or incidents that may occur. I agree to participate at my own pace and to manage my personal health needs during the event.
Supervision of Minors:
I accept full responsibility for the supervision, safety, and conduct of any minors I bring to the walk. I will ensure that minors remain under my direct care at all times and comply with any instructions issued by event organizers or volunteer leaders.
Media, Privacy & Social Media:
I understand that Mamastay, Trail Blazing Mom, and volunteer leaders may photograph or record the event for community, promotional, or informational purposes. Organizers will take reasonable steps to respect participant privacy; however, they are not responsible for media shared by third parties. If I do not wish to be photographed, I will notify the walk leader prior to the event.
Release of Liability:
I understand that participation in the walk involves inherent risks, including but not limited to physical injury, illness, or property loss. By participating, I voluntarily assume these risks and release, waive, and hold harmless Mamastay, Trail Blazing Mom, and volunteer leaders from any claims, liabilities, or damages arising from my participation to the fullest extent permitted by law.
I have read and agree to the Participation Agreement & Waiver above.
*
I agree
Do you give permission for you and/or your children (if applicable) to be photographed and included in Mamastay and Trail Blazing Mom’s posts without blurring?
*
Yes, permission granted
No, please blur faces
Signature
*
Register
Register
Should be Empty: