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Walk Audit General Registration
Event Timing: Please note all walking audits will take place on Wednesday October 2nd. The Hardin Park walk will occur rain or shine all other locations will have a rain date of October 9th

Name (first, last) *
Phone
Organization (if applicable)
Please select which route you want to participate in (you may select more than one) *
Required
Start times/Routes/ Parking for Wednesday October 2nd
I have read and agree with the liability waiver below:
Liability Waiver: I, the participant, being aware of my own health and physical condition, and having the knowledge that my participation in this walkability audit may be injurious to my health, am voluntarily participating in this event. Having such knowledge, I hereby acknowledge this release, any agency or organization involved in the walkability audit from liability for accidental injury or illness which I may incur as a result of participating in the walk audit event. I hereby assume all risks connected therewith and consent to participate. I agree to disclose any physical limitations, disabilities, ailments or impairments which may affect my ability to participate in said walkability audit.  
New Market/Hardin Park Route
State Farm/Health Sciences Route
Hwy 105 Route
Council of Chambers/Hwy 321 loop route
Convocation Center-Hardin Street Route
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