NFB of Minnesota Walk for Opportunity Entry Form
Thirty-ninth Annual WALK FOR OPPORTUNITY
10 Kilometer Walk, Run, Bike or Skate
Saturday, September 12, 2020
Starting Time: 10 a.m.
Start/Finish: Multiple locations and cities for social distancing (TBD)
All participants are asked to raise at least $25 and turn in the contributions on or before the day of the walk.
Submit this form by September 5, 2020.
By submitting this form, I indicate my understanding that all monies collected in the name of the National Federation of the blind of Minnesota will be sent to the National Federation of the Blind of Minnesota, Walk for Opportunity, 100 E. 22nd St., Minneapolis, MN 55404, and that the National Federation of the Blind is not responsible for damages or injuries to me. If the participant is under 18 years of age, this Entry Form must be completed by parent or guardian.
Email address *
Name of Participant *
Phone Number *
Shirt Size? (Limited quantities available) *
If you already have a shirt from last year or won't need a shirt, indicate that here. If you'd like one, write in small, medium, large, xl, xxl. Shirts are first-come, first-served as quantities are limited.
How I Will Participate: *
Indicate here if you'd like to walk, not walk but work outside, help from inside via the phone/zoom, etc.
In what location will you walk? *
Please write in your city and any other info on where you'd generally prefer to walk (or help outside); this will help us designate routes and get people connected with them. If you're helping from inside, write N/A.
Please choose the option that applies to you regarding walking groups. *
Emergency Contact Name *
Write in the name of the person to contact in case of emergency wile walking the route or helping outside.
Emergency Contact Phone Number *
Write in the phone number of the person to contact in case of emergency.
Emergency Contact's Relationship to You *
Write here whether the emergency contact is a parent, sibling, relative, friend, spouse, etc.
Name and phone number of parent or Guardian, if applicable
If the participant is under the age of 18, the parent or guardian's name and phone number must be entered here.
A copy of your responses will be emailed to the address you provided.
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