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EVENTS HOME DONATE REGISTER LOG IN ALZ TN HOME

Online Registration
Welcome to the online registration page for 5 County Alzheimer's Tennessee WALK.
Personal Information
Fundraising
:
$
Other
Walker 
Walker+Volunteer 
Volunteer 
 (Required if under 18 and for YOUTH prize winners!)
Under 18 
18-24 
25-34 
35-44 
45-54 
55-64 
65+ 
Yes 
No 
 (The pet representing the Team or Walker who turns in the most money on or before the day of the walk will be crowned Alzheimer’s WALK Mascot! Walkers/Teams competing for other Top Prizes not eligible.)
Yes 
No 
 (WALKers who pre-register by the deadline and raise $50 will qualify for a souvenir WALK t-shirt (distributed to eligible WALKers who participate at the WALK))
 (To register as a Day of WALK volunteer please select two areas where you would be interested in helping. Please note that you will receive a confirmation e-mail about 2 weeks before the WALK. - hold the CTRL key to click to select more than one choice.)
RELEASE AND WAIVER: For in consideration of my participation in Our event, I hereby, for myself, my heirs, administrators, and assigns, release and discharge the venue and all involved sponsors and their respective servants, agents, employees, officials and officers, from any and all claims, demands, liabilities, loss, damage and causes of action of any sort, including attorney's fees for injuries sustained to my person or property incurred by reason of my participation or preparation for the above said event due to negligence or any fault. I hereby grant the organization specific permission to reproduce, publish, circulate, copyright, or otherwise use any and all photographs and/ or videotape of me and/ or my family taken at Our event, for use by the organization. I certify that my participation is free and voluntary. By clicking on the "Complete Registration" button below, I signify that I have read and understood the foregoing Release and Waiver, an, if under the age of 18, have the consent of a parent or guardian to participant in this event.
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