Take Steps; Make Strides Registration           
                    Registration
(Parent and/or Guardian may register their children/family members on the same registration— Individuals over 18 and not under legal guardianship must register on a separate form)
Name:
Street Address:
City:
State:
Zip:
Email:
Date of Birth:
Phone:
Additional Registrants:
Registration Fee: $10.00 per participant. Children 12 and under are free, but MUST be registered.
Name:
Age on Date of Event
Name:
Age on Date of Event
Name:
Age on Date of Event
Please Type In the Name of Any  over 18 but under your legal guardianship that you have registered above
Add N/A if None.
All other attendees over the age of 18 must register separately
    Waiver
PLEASE READ THIS DOCUMENT (THE “WAIVER AGREEMENT”) CAREFULLY BEFORE SIGNING.

THIS WAIVER AGREEMENT WILL AFFECT YOUR LEGAL RIGHTS AND WILL LIMIT OR ELIMINATE

YOUR ABILITY TO BRING A FUTURE LAWSUIT.

I agree to abide by any decision of the Walk Staff/Representatives. I assume all risks associated with attending this event including, but not limited to: falls, contact with other participants, the effects of weather, including high heat and/or humidity and the conditions of the track, and/or field all such risks  being known and appreciated by me.
Having read this waiver and knowing these facts and in consideration of your accepting  my registration to attend this event, I, for myself and my heirs, executors, administrators and anyone else entitled to act on my behalf, waive and release the John J. Nerden RTC Camp, its officers, directors, agents, event  officials, volunteers and employees, all sponsors, their representatives and successors, the City of Meriden  and the Meriden  Police Department and their respective agents, employees and representatives from all claims or liabilities of any kind arising out of my attendance at this event. I grant permission to all of the foregoing to use any photographs, motion pictures, recordings, or any other record of this event for any legitimate purpose. I understand that bicycles, skateboards, roller skates or inline skates and animals are not allowed in the event and I will abide by this guideline.



I/We (are) registering as a: Team or Individual Walkers (s)
Enter Team Name if Applicable
I agree to Waiver