Individual Registration Form
Each individual team member needs to complete this before you begin
Email address *
Name *
Your answer
Telephone number *
Your answer
Age *
Your answer
Team Name *
Your answer
Address *
Your answer
Gender *
Ethnic Background *
My team is made up of people in my..(check the correct answer below)
I wish to participate voluntarily in the Walk Across Tennessee physical activity for the purpose of personal fitness. I understand that I should have medical approval from my health care professional if I:
I agree to accept full responsibility for any injuries I may sustain while participating in this program. (Please initial) *
Your answer
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