Baby Basics Walking Challenge – January 25, 2014

Official On-Line Entry & Payment Form

Entries made with this form require on-line payment via PayPal.(1)
To submit entry by mail and pay by check use the
 paper form available here.

(1) Paying on-line via PayPal does not require a PayPal account. Most major credit cards accepted.

The walk is at North Collier Regional Park, 15000 Livingston Road, Naples, Florida. Registration begins at 8:30 am. Walks begin inside the Park at 9:30. Brunch by Wynn’s Catering and McDonald’s will be served following the walk.

Fill in the appropriate information below and press the “Proceed to Payment” button where you will have the option to order and pay for the fees you would like.
*= Required Information

 

FEE SCHEDULE
$20.00 each - Walker (Includes one child 12 or under walking with paid adult)
$10.00 each - Additional Child (12 or under walking with adult)
$15.00 each - Food (Adult Guest)
$10.00 each - Food (Child 12 and under guest)
First
Last
Participants under 18 years require parental consent. Children under 14 must be accompanied by an adult on the walk.
First Child Name
Second Child Name
Third Child Name
Fourth Child Name
Waiver and Release:
This entry form contains a waiver and limit on your legal rights. I agree to defend, indemnify and hold harmless Baby Basics of Collier County Inc. and the organizing committee, including any and all participants, sponsors, supporters, volunteers and municipalities, against all claims, damages and causes of action including court costs and attorney fees, directly and indirectly arising from any proceedings brought by or prosecuted for my behalf arising out of or associated with the Baby Basics Walking Challenge of 2014. I attest and verify that I have full knowledge of the risks involved in this event and that I assume those risks. I realize this event is a strenuous activity and my health is adequate for me to safely participate in this event. I will assume and pay my own medical and emergency expenses in the event of an accident, illness, or other incapacity regardless of whether I authorized such expenses. Further, I hereby acknowledge that I have sole responsibility for my personal possessions and athletic equipment during this event. I understand that this is a walk, not a race and not a closed course. I grant full permission to use my name, voice and/or my picture in any broadcast, telecast, advertising, promotion or other account of this event. I attest that I am over the age of eighteen or, in the case of a participating minor, I am the legal guardian of such minor.
Type your full name to signify your agreement to the above "Waiver and Release"



 

 


January 24, 2015
Annual Baby Basics Walking Challenge

May 2, 2015
Annual Mother’s Day Tea at the Ritz

 

 

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