2026 Sickle Cell Super Hero Walk Registration

2026 Sickle Cell Super Hero Walk Registration

Please join us for our annual sickle cell awareness fun run in 2026!
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Participants

Please list all participants names, their age, and their shirt size.

Rows	Name	Age	Shirt Size
Registrant #1
Registrant #2
Registrant #3
Registrant #4
Registrant #5
Registrant #6

Registration Fees

Please select the number of registrations for each type using the drop down menu. (ex. If you have 2 adults and 4 children participants above, then those numbers should match in the quantity for the fee selection below).

You will need to register at least one adult for each registration form. If you decide not to register a youth or child you can uncheck the box and the subtotal will be adjusted.

ADULT Walk Registration

2026 Sickle Cell Super Hero Walk Registration for individuals 13 & older. Each registration comes with one (1) t-shirt.

$25.00 Quantity
Item subtotal:

YOUTH Walk Registration

2026 Sickle Cell Super Hero Walk Registration for school-age individuals. Each registration comes with one (1) t-shirt.

$15.00 Quantity
Item subtotal:

WARRIOR Walk Registration

2026 Sickle Cell Super Hero Walk Registration for Sickle Cell Warriors. Each registration comes with one (1) t-shirt.

Free Quantity
Item subtotal:

Young Child Walk Registration

2026 Sickle Cell Super Hero Walk Registration for children under 5. Each registration comes with one (1) t-shirt.

Free Quantity

Enter coupon

Total

Waiver of Liability Walk Release & Photo Release
I the undersigned assume full and complete responsibility for any injury or accident, which may occurs during my participation in the event or while I am on the premises of the event. I hereby release and hold harmless Sickle Cell Association of Kentuckiana, the sponsors, promoters and all other persons and entities associated with the event or their agents or employees, or otherwise. I will not enter and participate unless medically and properly trained. I assume the risk associated with this event, including but not limited to falls, contact with participants, alcohol consumption, the effects of weather including high heat and/or humidity, and the conditions of the trail, all such risks being known and appreciated by me.

I further grant my permission for the Sickle Cell Association of Kentuckiana to use any photographs, videotape, motion pictures, recordings or any other record of this event publically to benefit the association. I understand that the images may be used in print brochure, website, and social media. I also understand that no royalty, fee, or other compensation shall become payable to me by reason of such use.

Fees are non refundable.

I have read the forgoing and certify my agreement.

I agree and understand that by enterin my name onto this form, that all electronic signatures are the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement.
Name

First NameLast Name
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Need help with the form or have questions? Contact info@thescakky.org
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2026 Sickle Cell Super Hero Walk Registration

Participants

Registration Fees

You will need to register at least one adult for each registration form. If you decide not to register a youth or child you can uncheck the box and the subtotal will be adjusted.*

Waiver of Liability Walk Release & Photo Release

You will need to register at least one adult for each registration form. If you decide not to register a youth or child you can uncheck the box and the subtotal will be adjusted.