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Pre Registration Form




EFSDN Buddy Walk 2008
Saturday September 27th, 10:00-1:30
Alton Baker Park, Eugene


Pre registration is not necessary - it ensures we have your proper information and helps with food and event planning. You will still need to check in at the registration table the day of the walk. Pre registration will allow us to be more efficient with checking you in the day of the Buddy Walk.

We will have Buddy Walk merchandise for sale. We can only accept cash or check at this time. You can reserve items by using this pre registration from. If you order early we can make arrangements to deliver your items prior to the Buddy Walk. Please use the comment form below to add your comments.

2008 and 2007 Buddy Walk shirts are available for sale.
Our 2008 design is shown below.

Place the quantity and sizes of shirts you would like to reserve in the comments box at the end of this form.





2008 Shirt prices
Adult $7.00
Youth $5.00

2007 Shirt prices
Adult $4.00
Youth $2.50

Shirt sizes available:
Adults - Sml-Med-Large-Xlarge
Youth - Xsml-Sml-Med

Special order sizes available if only ordered by Friday 9-19-08.

Buddy Walk wrist bands - adult and youth sizes $1.00 each
Adult:
Youth:


Buddy Walk water bottles - $2.00 each
Water Bottles:

Main Contact Info
First Name:
Last Name:
Address:
City:
State:
Zip Code:
Email:
Phone:
T-Shirt Size (07 or 08):

Additional Walkers
(Please only enter shirt sizes if purchasing, and indicate 2007 shirt or 2008.)
 
First Name Last Name T-Shirt Size (2007 or 2008)

Waiver: In consideration of me and/or my minor child being permitted to participate in the Buddy Walk, I hereby – for myself, my heirs and personal representatives – assume any and all risks which might be associated with the event. I further waive, release, discharge and covenant not to sue the Emerald Family Down Syndrome Network (EFDSN) or National Down Syndrome Society, their officers, employees, sponsors, organizers, volunteers or other representatives or their successors and assigns, for any and all injuries or damages of any kind whatsoever suffered by myself and/or my minor child as a result of taking part in the events and any related activities. I also authorize the use by NDSS and the EFDSN of any photo, film or videotape taken of me or my minor child at the event for any purpose.

I understand and agree with the waiver
Yes No


Comments:



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