WALKATHON Registration

Submitted by Guest on Thu, 06/17/2010 - 23:55


Registration Form



Saturday, August 7th, 8am – 12:30pm at Dixie Heights High School Track,
3010 Dixie Highway, Fort Mitchell, KY 41017

All registration forms completed after July 31st should be printed and brought to the Walk-a-thon.
View and print registration forms here.

Pre-Registration Deadline Ends Saturday, July 17th. The first 100 people to Pre-Register will be guaranteed to receive a Free T-shirt. T-shirts will be available for purchase the day of the event for $10.
A separate registration form must be filled out for each member of your family collecting pledges to participate in the Walk-a-thon. Children under the age of 18 not collecting pledges
to participate must be listed below on a parent or guardian’s registration form.

You will be emailed a copy of your form submission. Please be sure this is accurate.

Enter email a second time for verification.

Please select one.

Please select one.

I am a breast cancer survivor and would like to have a survivor flag at the walkathon. The survivor flags will cost $1. They will be available to write your name on and carry during the event.

I am walking in memory of a loved one. I would like an “in memory” flag at the walkathon. The memory lap flags will cost $1. The “in memory” flags will be available to write the loved one’s name on and carry during the event.

I agree to participate in the free Better Bodies for Breast Cancer Walk-a-thon. I have received a pledge form (downloadable from www.ihavewings.org)and commit to obtaining at least $10 in pledges. On the day of the event, I will bring the pledge money that is donated.
(We) understand photographs may be taken at the Better Bodies for Breast Cancer on the 7th day of August, 2010. I hereby assign and authorize I Have Wings Breast Cancer Foundation(IHW) and/or Better Bodies Fitness Center (BBFC) the right (all rights) to utilize those photographs at their discretion. I also authorize IHW and/or BBFC without limitation, the right to reproduce, copy, exhibit, publish or distribute any such photographs, and expressly waive any rights or claims I may have against above named firm and/or any of its affiliates, subsidiaries, or assignees, except as outlined in this contract.