Walk 4 life and color run Registration form

Fill out one form for each adult or child participating.

Participant *
Participant
Parent or Guardian
Parent or Guardian
If participant is 17 years old or younger.
Mailing Address *
Mailing Address
Phone *
Phone
If you do not want color powder thrown on you, choose "Walk 4 Life (no color). Alpine will not have any color powder at their Walk 4 Life.
$25: T-shirt $50: T-shirt and 25 oz. fruit fusion bottle $75: T-shirt, 25 oz. fruit fusion bottle, and retractable ear buds $100 or more: T-shirt, 25 oz. fruit fusion bottle, retractable ear buds, and swag bag (includes sunglasses, color powder packet, precious feet pin, wristband, drawstring bag, food voucher for Show Low and Springerville locations, and FREE admittance to Show Low Days for Show Low location)
$
I waive all claims for myself and my heirs against Living Hope Centers for any injury or illness which may result directly or indirectly from my participation. I further state that I am in the proper physical condition to participate in this event. In addition, I give Living Hope Centers permission to use photographs of me taken at the Walk 4 Life/Color Run in future event promotion. *