CJ Walk for Education
Love to walk??? Want to walk for a great cause?
Come walk with us October 10th! Enjoy strolling through the Center Creek Park and along the creek all the while raising money for the CJ K-3 classrooms!
The course will be set up the same as the 5K run that will be held earlier in the morning. You may walk part or all of it.
There is no set entry fee for this event, only donations!
You may gather donations from your friends and family, maybe even a neighbor. You will recieve a free t/shirt if your donation is $20 or more. PLUS...for every $25 you donate, your name will be put into a drawing for a Nintendo DSi!!!
One lucky walker's name will be drawn out that day!
Saturday, October 10th starting at 10:30
Please print this registration form out for each participant, complete and return to one of the CJ K-3 offices or mail to:
CJ K-3 PTO, 206 S. Roney, Carl Jct., MO. 64834. Attn. Walk
Checks may be made out to: CJ K-3 PTO
Registration Form
Name:__________________________________Phone #_________
Address:________________________________Age:___Grade:___
Classroom:_____________________
Email:_____________________________(please include for updates)
Parent's Name (if under 18):_________________________________
*Must walk with child.
Amount of donation: $_______ in form of Cash:$____/check(s):$_____
Qualifies for _____# entries for Nintendo DSi.
Shirt size: Youth: Small/Med/Large or Adult: Small/Med/Large/XL
(please circle! Free if donation is $20+ or you may order for $7 each)
Shirt order: ___# of shirts at $7 each = $_______
(seperate payment for shirts required! "Shirts" must be written in memo)
Waiver: I fully accept responsibility for my myself/family during this walk.
I understand that there are risks associated with this event, including, but not limited to: weather, including high heat or humidity, conditions of the road and traffic on the course, falls and contact with other participants. By agreeing to this waiver, I will not hold the CJ Walk for Education organizers, volunteers, or sponsors of this event, The CJ School District or the City of Carl Junction, MO. responsible for any accidents or health issues.
All donations are non-refundable. I also authorize use of my picture for any media or publication use.
_____________________ _____ _________________
Print name of pariticpant (& guardian Name is app) Date Signature (guardian if under 18 yrs. of age)
Please use form on "donation" tab to help collect!
Please staple two forms together.