Embarcadero Lions Club presents the 6th Annual

Robert G Smith Walk to

Cancel Out Parkinson's

Maidu Regional Park - Roseville, CA

Saturday, April 1 2023

For issues or questions regarding online Donations, Pledges or Registrations, send an email to Warren Strand at: warren@rgsmith.org

Include details of the issue/question in the email and how you want to be contacted.

2023 Registration

1

Group
Entry

Registrant(s) Information Entry

First Name

Last Name

Phone

Email

T-Shirt Size

18+ Years

 

Choose A Registration Type

or

or

Team Info
Personal Info
Contact Info
Address Info
Event Waiver

In Consideration of your accepting this entry, I, intending to be legally bound, do hereby for myself and my heirs, executors, administrators waive and release, any and all rights and claims or damages I may accrue against the persons and organizations affiliated with the walk for any and all injuries that may be suffered by me during the event. As part of this waiver I acknowledge that I have read and understand the above.

If Participant is a minor, the parent or guardian must agree to the below:
I am the legal guardian of Participant, and I hereby consent to his/her participation. I have read the foregoing agreement, and I hereby agree on behalf of myself and Participant to its terms.

Registration Info