Sarvadarma Simble
Zone 1
9619 - 82 AVENUE, EDMONTON, ALBERTA, CANADA.  T6C 0Z9
PHONE:  (780) 437-7243   ||  Walk For Values Canada
Sarvadarma Simble
Region 13



Download 2010 WALK FOR VALUES:    Flyer   |   Brochure   |   Poster   |   Registratio Form

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Walk For Values 2011 - Registration Closed - See You All Next Year!

Edmonton Walk For Values: ONLINE Registration - CLOSED

Walk For Values Logo   Walk For Values Logo   Walk For Values Logo

Waiver

By registering online it is agreed that you have read, understood and signed the below mentioned Waiver. If Not Signed Or Agreed To The Waiver, You Will Not Be Officially Registered For The Walk

A parent or guardian must sign the waiver for anyone under the age of 18. An adult must accompany the children under the age of 12. In signing this release, I/we acknowledge that I/we hereby agree and absolve harmless the Sri Sathya Sai Baba Centre of Edmonton, Corporate sponsors, cooperating organizations, and any other parties connected with this event in any way, singly, or collectively from and against blame and liability for any injury, misadventure, harm, loss, inconvenience or damage hereby suffered or sustained as a result of participation in the Walk for Values or any activities associated therewith. I/we hereby consent to and permit emergency treatment in the event of injury or illness. I/we also give full permission for use of name, photo, and video connection with this event. I confirm that the information provided is correct.

PLEASE NOTE: By registering online, it is deemed that your have read, understood and agreed to the WAIVER above, when SUBMITTING.




Participant 1:
First & Last Name* :
   Gender* :   Age* :    
Participant 2:
First & Last Name:
   Gender:   Age:
Participant 3:
First & Last Name:
   Gender:   Age:
Participant 4:
First & Last Name:
   Gender:   Age:

Your Email ID * :      
Your Phone # * :      

Additional Info :      


* Denotes Required Fields

Emergency Contact
First & Last Name:  
Phone # :  

T-Shirts Available For All Participants
At A Minimum Cost Of
$10 Each

Size:   Quantity:

If you require more T-Shirts please indicate this on
the additional comments above or please re-submit form.

Payments can be made by cash OR by cheque payable to


Sai Baba Centre Of Edmonton,
P.O. Box 11206, Edmonton Main, Edmonton, AB T6C 0Z9


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