Arc Walk for Independence
Walker Registration

	Join the Celebration!!   Date:   March 27, 2010 Time:   8:00 am - 10:00 am Location:   Stonewood Center   (Firestone/Lakewood Blvd.)   Downey, CA   A 1 or 3 mile walk supporting adults and children with intellectual and other developmental disabilities.

REGISTER ONLINE NOW

First Name:	*
Last Name:	*
Address:	*
City:	*
Zip:	*
Email Address:	*
	SELECT YOUR PARTICIPATION LEVEL:
Participating Walker I will not be walking: My spirit is willing, but my feet are not. Include me among the “Spirit Walkers” Number of Adult Walkers: $10 per walker ($30 Maximum per Family) $ Number of Children (Under age 10) *Kids under 10 walk free   I will be walking as: Individual      Team      Family   Spirit Walker Donation $10 Standard Donation $ Sponsorships: $ *Enter Amount $ Total   $ I hereby waive all claims against Arc of SELAC, sponsors or any personnel for injury I might suffer in this event. I attest that I am physically fit and prepared for this event. I grant full permission for organizers to use photographs of me and quotations from me in legitimate accounts and promotions of this event.   * Required Fields Note: Arc of SELAC will not sell your email or private information to 3rd Parties. No refunds will be given.

Arc WALK FOR INDEPENDENCE T-SHIRTS WILL BE ON SALE THE DAY OF THE WALK FOR $10 EACH!

Arc Walk for Independence 2010 Prizes

$50 in Paid Sponsorships Special 2010 Walk Lanyard $100 in Paid Sponsorships Sports Radio with Pedometer AND Special 2010 Walk Lanyard $150 in Paid Sponsorships 2010 Arc Walk Visor AND Sports Radio with Pedometer AND Special 2010 Walk Lanyard

You may also choose to Download the Arc Walk For Indpendence 2010 Forms. Arc Walk Fact Sheet Registration Form

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Click Here to read "Why I Walk?" By Kevin MacDonald 

Arc Walk for Independence 2009 Sponsors