Walk a Mile in Her Shoes 2019
Thank you for participating in Albemarle Hopeline's Walk a Mile in Her Shoes event! We appreciate everyone who wants to donate their time and attention to this cause.

If you'd like to donate to Albemarle Hopeline, please visit our website at www.albemarlehopeline.org and click on the donate button in the left hand corner.

If you'd like to become a sponsor for this event, please give us a call at 252-338-5338.

Email address *
Are you registering as a member of a team? *
What is the name of your team/organization? If you answered "no" above, please put N/A. *
Your answer
Are you or your organization interested in becoming a sponsor? *
First and last name: *
Your answer
Gender: *
Age:
Your answer
Phone number: *
Your answer
Address: *
Your answer
City and state: *
Your answer
Mandatory Waiver/Release for all event participants. *
I know that walking in such an event is a potentially hazardous activity. I should not enter unless I am medically able. I agree to abide by any decision of an event official relative to my ability to safely complete the walk. I assume all risks associated with walking in the Albemarle Hopeline Walk a Mile in Her Shoes event including, but not limited to, falls, contacts with other participants, the effects of weather including high heat and/or humidity, low temperatures, conditions of the track, all risks known and appreciated by me. Having read this release and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf or on behalf of my estate, waive and release its directors, officers and staff, the county of Pasquotank and its employees, and all sponsors, their representatives and successors and assigns each and every of the above from all claims or liabilities of any kind arising out of my participation in the run/walk even though the liability may arise out of negligence or carelessness on the part of the persons referred to in this waiver. I also grant permission for the use of any photographs, motion pictures, recordings or any other record of my participation in this event for any legitimate purpose. I understand that if this event is cancelled because of circumstances beyond the control of the event committee and sponsors, including, but not limited to unsafe weather conditions or governmental ban, my sponsorships and/or donations will not be refunded.
A copy of your responses will be emailed to the address you provided.
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