WALKERS OnLine Registration

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Up to 5 WALKERS can be submitted on this registration ---- if you think you might run, rather than walk, please fill out the runner's registration form. This form is only for those that KNOW they will be walking.

Walker 1 Name*

T-shirt or Hat? Size

Walker 2 Name

T-shirt or hat? Size

Walker 3 Name

T-shirt or hat? Size

Walker 4 Name

T-shirt or hat? Size

Walker 5 Name

T-shirt or hat? Size

I have read the waiver on the Registration page, and by typing my name in the following box, I agree to the listed terms.

YesNoIf you are registering several people, have they all agreed to the terms listed.

Full name (denotes signature) and date.

E-mail address:

You can pay on-site at Early Registration or on the day of the run or mail you registration fee to Eileen Ervin, PO Box 727, Waterville, WA You can also pay by PAYPAL, go to the store page to utilize PAYPAL.

Questions or Comments?

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