2017 School Zone Prayer Walk Entry Form
Register for our 2017 School Zone Prayer Walk in support of LISD, other area ISDs and education centers.
Last Name, First Name *
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Email Address *
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Mailing Address *
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City, State, Zip *
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Mobile Phone *
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Other Phone
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Place of worship
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Name and Age of child 1 walking in your company (note: separate entries should be completed by individuals ages 18+)
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Name and Age of child 2 walking in your company (note: separate entries should be completed by individuals ages 18+)
Your answer
Name and Age of child 3 walking in your company (note: separate entries should be completed by individuals ages 18+)
Your answer
Name and Age of child 4 walking in your company (note: separate entries should be completed by individuals ages 18+)
Your answer
Walker's eSignature: In consideration of the acceptance of this entry to the School Zone 5k Prayer Walk, I waive all claims for myself, my heirs, and assigns against the Walk sponsors or promotors for injury or illness which may result from my participation. I further state I am in proper physical condition to complete in this walk. *
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Date: *
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Please note any additional comments or questions you may have:
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