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3rd Annual AANBNA Men's Health Walk/Run
Date:
Saturday, June 14th, 2024
Time:
Check-in/ Registration: 7:00 A.M.
Opening Festivities: 7:30 A.M.
Walk Time:
8:00
A.M.
Event Address:
Gallup Park 3000 Fuller Rd. Ann Arbor, MI 48105
Contact us
via email at:
diversity@annarborbna.com
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Email
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Name
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Address
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Age Range
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below 20
21-30
31-40
41-50
51-60
61-70
71 and older
Required
Gender
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Male
Female
Would rather not say
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Are you walking as a member of a team/group? (optional)
Omega Psi Phi
AANBNA
Black Men Run
Black Women Walk
Other:
Emergency Contact (Name, Address, Phone Number)
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In signing this waiver release "signature" section below, you attest that all of the statements are true:
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I do not have a medical condition or history that will affect my participation in this event
I acknowledge that this event requires physical activity and there are possible risk
I release the event organizers from any responsibility in case of accident, illness or injury
I confirm that all information in this registration form is accurate and true
Waiver Signature
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Waiver Date
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To Pay Your Registration Fee Click Here:
https://bit.ly/48GDwuL
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A copy of your responses will be emailed to the address you provided.
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