Sign with Me (SWM) hosts:                                    HearZero®  Access  Inclusion Walk Initiative Participant Registration & Liability Release Form

The Sign With Me (SWM)   HearZero® Access Inclusion Walk Initiative is a welcoming, accessible walking experience designed to bring community members together while advancing access, inclusion, and communication equity

Each walk highlights a specific community sector—Faith-Based, Public Safety, Wellness & Healthy Aging, or Ability Walk (autism and disabilities)—and features guided conversation with community leaders about the importance of accessibility and the use of American Sign Language (ASL). These walks are designed to be inclusive, supportive, and accessible for participants of all abilities.  You have options: walk the concrete hill to the top; take the steps, walk the trails or a combination thereof. If you have any access functional needs or physical concerns (wheelchair, cane, etc.) you may opt to drive directly to the top of the hill park /pay $2 (or be dropped off). 

By participating, you help build awareness, foster connection, and support Sign With Me’s mission to bridge communication gaps and create inclusive environments for all.  You are now apart of our  HearZero® Nation!


Support the movement by purchasing an Inclusion Walk T-shirt for $20—your contribution directly fuels our programs, advocacy, and community walks throughout 2026.


Event Outline 

8:30 am Arrival time (check in with SWM Rep, take selfies and pic in front of location signage)

8:45 am - 9:30 am (independent journey walk to top -set your timers)

9:30 am (arrive to top to concrete steps South of Museum, check in with SWM Rep, receive snack pack, group pictures)

9:45 am  - 10:15 am Community Presenters

10:15 -10:30 am Closing, Networking

Email *
SECTION 1: Participant Information
1. Full Name
*
2. Preferred Name (if different)  *
3. Email Address  *
4. Phone Number  *
5. City & State *
Event Calendar
6. Age Range *
SECTION 2: Event Details
7. Which walk are you registering for? 
8. What is your role? *
9. Event Dates (Sundays) *
SECTION 3: Accessibility & Communication Needs
10. Do you require any accessibility accommodations?
11.  Do you or someone attending with you identify as Deaf or Hard of Hearing?  *
12.  Emergency Contact Name *
13.  Emergency Contact Phone Number *
SECTION 4: Participation & Media Content
14. I understand this is a walking/hiking activity conducted outdoors.
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15. Photography & Video Consent
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SECTION 5: LIABILITY RELEASE & ASSUMPTION OF RISK
READ CAREFULLY BEFORE AGREEING

By registering for and participating in the Sign With Me (SWM) Community Engagement Inclusive Walk Initiative, I acknowledge and agree to the following:

I understand that participation involves walking or hiking on outdoor trails and may include inherent risks such as uneven terrain, weather conditions, physical exertion, and potential injury.

I voluntarily assume all risks associated with participation, whether known or unknown.

I certify that I am physically able to participate or will take necessary precautions.

I release, waive, and discharge Sign With Me (SWM), its founders, directors, officers, employees, volunteers, partners, sponsors, and affiliates from any and all claims, liabilities, damages, or causes of action arising out of or related to my participation.

I agree to indemnify and hold harmless Sign With Me (SWM) from any claims brought by or on behalf of me or a third party related to my participation.

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SECTION 6: AGREEMENT & SIGNATURE
16. Electronic Signature (Full Legal Name)
17. Date *
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18. Parent/Guardian Name (if participant is under 18) *
19. Parent/Guardian Electronic Signature *
OPTIONAL SECTION: Stay Connected

20. Would you like to receive updates from Sign With Me (SWM)?

T-SHIRT ORDER  $20 Donation- your contribution directly fuels our programs, advocacy, and community walks throughout 2026. Delivered at the event. Make payment via Zelle: Email signwithmeinc@gmail.com or CashApp $SWMOutreach
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Thank you!
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