Fourth Annual FOCUS Take a Walk for Wildlife

Registration Form

Please complete the information below, and we'll have a pre-printed form waiver form for you to sign upon arrival at the Annex on October 8, 1995.

For more information about the walk, you can view our walk information page.

A signed waiver is required for every person participating. By signing the waiver form, participants (or their legal guardians) acknowldge that they are physically able to undertake the Walk and waive any claims arising out of the Walk which the walker might assert against any parties connected with the Walk.

Name:
Email Address:
Address 1:
Address 2:
City:
State: Zip/Postal Code:
Country:
Telephone:

Please list all members of your party. Indicate which, if any, are minors.

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Site Location: http://www.raenet.com/focus/ -Last update: 25 September 1995

© 1995 FOCUS

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