27th Annual Light the Night for Sight: T-Shirt and Waiver

Contact Details

Name(Required)
Email(Required)

T-Shirt Size

Raise $100 and earn a glow-in-the-dark-T-shirt.

WAIVER

I am aware that participating in this Walk is a potentially hazardous activity and that I and those under my supervisions should not enter the Walk unless physically able. I assume all risks associated with walking the event including, but not limited to falls, contact with other participants, the effects of the weather, including high heat and humidity, traffic and all other conditions of the route. All such risks to myself and those under my supervision are recognized and appreciated by me. I hereby waive all claims against PREVENT BLINDNESS, its affiliates, national underwriters, event sponsors and personnel for any injury I might suffer in this event. I grant full permission for the organizers to use photographs/video of me and quotations from me in legitimate accounts and promotions of this event.

By checking the box below, you agree to the terms of the waiver for yourself and for any participating minor for whom you are a parent or guardian.

Waiver(Required)
Please list the name of any minor children who are participating for whom you are the parent or guardian. Please also list child's T-shirt size.