Group/Team Registration

Group/Team Name(Required)

Coordinator's Name(Required)

First Last

Coordinator's Phone(Required)

Coordinator's Email(Required)

Coordinator's Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Number Of Walkers In Your Group/Team?(Required)

For groups/teams of more than 10, please contact us directly at events@loveinclr.org so we can assist you.

Team Walker's

Walker #1 (Coordinator)

Walker #1 Name

First Last

Walker #1 Phone

Walker #1 Email(Required)

Walker #2

Walker #2 Name(Required)

First Last

Walker #2 Phone

Walker #2 Email(Required)

Walker #3

Walker #3 Name(Required)

First Last

Walker #3 Phone

Walker #3 Email(Required)

Walker #4

Walker #4 Name(Required)

First Last

Walker #4 Phone

Walker #4 Email(Required)

Walker #5

Walker #5 Name(Required)

First Last

Walker #5 Phone

Walker #5 Email(Required)

Walker #6

Walker #6 Name(Required)

First Last

Walker #6 Phone

Walker #6 Email(Required)

Walker #7

Walker #7 Name(Required)

First Last

Walker #7 Phone

Walker #7 Email(Required)

Walker #8

Walker #8 Name(Required)

First Last

Walker #8 Phone

Walker #8 Email(Required)

Walker #9

Walker #9 Name(Required)

First Last

Walker #9 Phone

Walker #9 Email(Required)

Walker #10

Walker #10 Name(Required)

First Last

Walker #10 Phone

Walker #10 Email(Required)

Group/Team Registration

Team Walker's

Walker #1 (Coordinator)

Walker #2

Walker #3

Walker #4

Walker #5

Walker #6

Walker #7

Walker #8

Walker #9

Walker #10

Waiver

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