Registration

Sign up for the 6th Annual Joe Chaves Memorial 5K Walk-a-thon

Date: Sunday, September 24, 2017 at 1:00pm

Salutation | Saudação
Name | Nome *
Name | Nome
Phone | Telefone
Phone | Telefone
Address | Endereço
Address | Endereço
$
As a participant in the Joe Chaves 5K Walk-a-thon, I will assume all risks of personal injury, death, or property loss that occurs as a participant. I certify that I am physically capable of participating in this event and am 18 years of age or older, or I am the legal guardian of the child(ren) attending this event. I grant full permission to the event organizers to use and publish my name and image as a participant in all media. *

DONATIONS

Donations may be made in the form of a CHECK at the event or, if you wish to mail your contribution, you may send it to:

Joe & Dorothy Chaves Foundation
51 Webster Street
Arlington, MA 02474

DISCLAIMER

All participants are required to sign a waver prior to, or at, the event.