Registration - Event Registration

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Select Registration Type

Choose how you'd like to register

👤 Individual
$50 per person

👥 Family, Team/Business/Corporate
$50 per person (10+ yrs), FREE under 10

Primary Contact Information

First Name *

Last Name *

Email Address * Please enter a valid email address

Confirm Email Address * Email addresses must match

Phone Number * Must be 10 digits (no spaces)

Emergency Contact Phone * Must be 10 digits (no spaces)

Emergency Contact Name *

📊 Registration Summary

Individual registration - $50

Total Amount: $50.00

Single individual registration

Agreements & Waivers

Liability Waiver *
I acknowledge that participation in this walkathon involves physical activity and I assume all risks. I hereby waive and release the event organizers, [Charity Name], sponsors, and volunteers from any and all liability for injuries or damages that may occur during the event.

No Refund Policy *
I understand that this is a charitable fundraiser for [Charity Name] (Registered Charity #XXXXX) and that all registration fees are non-refundable donations to support our community programs.

💳 Payment Information

Your payment is processed securely by Stripe. We never see or store your card details.

Card Number *

Expiry Date *

CVC *

🔒 Secure payment processing via Stripe

✅ Registration Successful!

Your Registration Number:

SMI-1001

⚠️ IMPORTANT: Save your registration number!
You will need it for event check-in.

📧 Confirmation email sent to:

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Select Registration Type

Primary Contact Information

Family/Team/Business Members

Agreements & Waivers

💳 Payment Information

✅ Registration Successful!

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