Welcome to our challenge. :) Good Luck and Enjoy investing in your health!! This form is for those of you who want to pay your challenge in cash. Once you submit this form, reach out to a FunNation officer and turn in your payment.
First Name/Last Name
Are you a Phi Theta Kappa Member?
NO, please send me info about PTK
Will a guest be joining you for the challenge?
Name of your guest:
Amount to be paid in person to an officer of the ACC Chapter of FunNation.
$1 for Student Early Bird Price
$3 for Student Regular Price
$10 for Staff/Faculty
$10 - Community Guest
$15 Community Business Owner
Waiver of Release: Any user of our challenge, assumes the risk of injury resulting from walking. Any instructions or advice are in no way a substitute for medical counseling. The organization, its owners, subcontractors, workout leaders, and volunteers disclaim any liability in connection with the exercises, recreational games, activities, and advice herein. By registering, I agree and hold harmless FunNation Events and FunNation Foundation, its owners, subcontractors, and volunteers from any harm or damage which may occur and will not be held responsible for lost or stolen goods. I release any and all photos taken at the organization's events to be used for future marketing purposes.
I understand and agree to the terms
I disagree with the terms and will not participate
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This form was created inside of Austin Community College District.