Walk for Love Online Registration

Walk for Love Online Registration


Saturday, September 28, 2019
Rain or shine
9:00 AM – Registration
10:00 AM – Walk begins
Registration Fee: $25* (Walkers and Non-Walkers)

  • Registration Form

    Type in this Format: month/day/year
    There are 4 types of registration - choose yes under your registration type

    • 10 $

    Waiver Form

    Please read before signing.

    I understand that my agreement to the terms of this release and waiver is a prerequisite for participation in the Acca Shriners Walk for LOVE. I, the undersigned, intending to be legally bound, waive and release for myself, my heirs, executor and administrators, any and all rights and claims for damages, demands and any other actions, which I may have against Acca Shriners, volunteer medical support, all participating supporters and those entities’ representatives, successors and assignees, from my participation in the event, including any and all injuries suffered by me because of my participation in this event. I verify I have full knowledge of the rigors of this walk and the risk involved in participation. I realize medical support for this event will consist of volunteer medical personnel prepared to administer first-aid type assistance. I hereby grant permission to Acca Shriners and its sponsors to use all information submitted in my application and any photograph, videotape, recording and any other record of this event including, my likeness and name for any lawful purpose related to the walk and post- walk publicity. Acca Shriners Walk for LOVE is open to all people who are physically fit. It is recommended that anyone with a history of health issues consult with their physician before undertaking the walk. The Walk Director reserves the right to reject any entry. No unauthorized bicycles, roller blades or skateboards will be permitted during the walk.

    (Parent/guardian if under 18)

    (Parent/guardian if under 18)

    Please type your name. When you type out your name and have checked out you've electronically signed the waiver.
    Click the icon date picker to choose the date.
SKU: walk-for-love-online-registration Category:


*All proceeds benefit Greenville and Philadelphia Shriners Hospitals and the Acca Shriners Transportation Fund.