Thank you for your registration.
After submitting this form you will be redirected to the Providence Newberg Foundation Web site where you can make a donation to the Nora Madelyn Fund if you so choose. Donations help us continue to provide support and services to our community, including this walk and our annual Remembrance Ceremony in the summer.
Waiver: By submitting this form, I/we hereby waive all claims against and hold harmless the Nora Madelyn Fund, Providence Newberg Health Foundation and/or Providence Newberg Medical Center, their sponsors, volunteers, and/or staff for any injury incurred. I/we give full permission for the Nora Madelyn Fund, Providence Newberg Health Foundation, and/or Providence Newberg Medical Center to use any photographs, video or other recording of I/us for legitimate purposes and promotion of the event or future NMF events.