All the information you enter into this page will be kept confidential by The Foundation
of Hope.
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First Name: |
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Last Name: |
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Middle Name: |
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User Name: |
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You will use this username and password to log into this site to send e-mails and
check on your contribution progress. (Choose a username & password that is easy
to remember, such as your name.)
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Password: |
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Address Line 1: |
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Address Line 2: |
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City: |
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State: |
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Zipcode: |
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Home Phone: |
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Work Phone: |
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Cell Phone: |
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Email Address: |
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Walker Code: |
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This is the code you will give out to your friends & family so that they can
make contributions to you. Make it short and easy to remember. (Again, feel
free to use your name.)
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T-Shirt Size: |
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(must be 18 years of age or older to register)
In consideration of being permitted to participate or any minor child accompanying
him/her in The Walk For Hope, the undersigned for himself, heirs and personal representatives
hereby releases, waives and discharges The Foundation of Hope, The Angus Barn LLC,
their officers, shareholders, employees and agents from any and all loss of damage,
and any claims or demands, on account of injury to the person or property of the
undersigned or resulting in the death of the undersigned which may occur as a result
of competing, participating in or working at The Walk For Hope or any activities
in connection therewith and indemnifies from any loss, liability or cost they may
incur due to the participation of the undersigned in The Walk For Hope.
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