Exceptional Ability Walk May 17th, 2025
Last Registration Day - May 17th, 2025 T-Shirt Deadline - April 17th 2025
Attendee Information
Please fill name and contact information of attendees.
Your Name
*
First Name
Last Name
Email Address
*
example@example.com
Contact Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Will you have a guest with you?
Yes
No
Guest Name (if this does not apply, put N/A)
*
First Name
Last Name
Contact Number
*
Please enter a valid phone number.
How would you like to support our Exceptional Abilities Walk?
*
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Registration Fee
Let's Be Exceptional Support Together
$
25.00
Quantity
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Item subtotal:
$
0.00
Donations
$
1.00
Donation Amount
Item subtotal:
$
0.00
Product Name
Black T-Shirt
$
25.00
Quantity
1
2
3
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5
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10
Size
XS
S
M
L
XL
XXL
XXXL
Product Name
White T-Shirt
$
25.00
Quantity
1
2
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5
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9
10
Size
XS
S
M
L
XL
XXL
XXXL
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
Would you like to be updated about the upcoming events?
*
Yes
No
I understand that participating in the Don't Stare Just Care Exceptional Abilities Walk involves certain risks, and I hereby release Be Exceptional Support Together (B.E.S.T.), its organizers, volunteers, sponsors, and affiliates from any liability for injury, loss, or damages incurred during the event.
*
Participant Signature
*
Date
-
Month
-
Day
Year
Date
Participant/Guardian Signature (if participant is under 18 years old)
Date
-
Month
-
Day
Year
Date
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