Você está na página 1de 2

Registered Charity 92

INDIVIDUAL REGISTRATION
Are you a part of a group or team?
Name:

Team Name:
Email:
ONE PARTICIPATING TEAM MEMBER PER FORM PLEASE

Walking or Rolling? (Check 3) Save Time, pre-register before


Walker Wheelchair All participants that raise $250 and over will be entered into March 24th at: racedayworld.com
our raffle draw. Prize kindly donated by the Sportseller.
AMOUNT AMOUNT
NAME EMAIL ADDRESS PLEDGED PAID
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
ADD REGISTRATION FEE $30 / $15 per participant

TOTAL $ $

I have read, understand and agree to the terms of the waiver below.
DO NOT WRITE IN THIS AREA
Name of Participant: __________________________________________________ Date: _______________________
Cash/Cheque Received ___________________________________
Signature: _______________________________________________ Signature: ______________________________
racedayworld.com: ________________________________________
(Participant) (Parent/guardian)
Email: __________________________________________ Emergency Contact: ______________________________ Received by: _____________________________________________
waiver:
For valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the undersigned hereby absolves and relieves WindReach, it’s directors, officers, employees, volunteers, the
WindReach Trust and sponsors from any liability whatsoever which I now have or may have in the future, and which arises from my participation in the WindReach Walk and Roll event to be held of
March 24, 2019. It is understood and agreed that I am participating in this event at my own risk and that will not make any claim against WindReach, it’s directors, officers, employees, volunteers, the
WindReach Trust or sponsors. By permitting me to participate I authorize WindReach to use my name, likeness, voice and words in television, radio, films, newspapers, magazines and other media in
any form not heretofore described, for the purpose of advertising or communicating the charitable purposes and activities of WindReach in appealing for funds to support such activities. I confirm for
and behalf of myself or the minor party on whose behalf I am signing this waiver, that the participant has the skills necessary to participate in and complete this event.
EVENT INFORMATION: ROUTE:
Join in the fun as we celebrate all abilities at The walk begins at WindReach’s accessible
our 20th Anniversary Walk and Roll. Bring trail that navigates behind the field paddocks
and opens up on the Railway Trail in Warwick.
Sunday, March 24th, 2019
your ‘can do’ attitude and sense of adventure
for a Walk & Roll like no other. The event will Enjoy a loop along the Railway Trail with
return via WindReach’s 20th Anniversary
feature a 2.5k and 5k walk beginning and
Wishing Well, finishing at the paddocks.
ending at WindReach property. Walk or roll
Double this 2.5k route for a 5k challenge!
on the WindReach Trail and Warwick Railway
Trail for a new inclusive experience. Walkers, AT THE EVENT:
runners, wheelers – everyone is welcome, Hang out after the walk to enjoy refreshments
even the family dog*. If you may need some and try your skills at the fun archery targets,
assistance with your wheelchair please let with a chance to win prizes!
us know, we have lots of support available.
For $2 an arrow, aim for a balloon and you
Bring a refillable water bottle to top up at could win a prize. Raffle exclusively for the
the hydration stations kindly made available participants that raise more than $250 in
thanks to Barritts. pledges. Bouncy Castle available should
anyone still have energy to burn!
*Service and pet dogs permitted providing
they are secured on a leash at all times and all Enjoy refreshments thanks to our Sponsors
waste is appropriately bagged and disposed. Oscar Mayer and Barritts.
REGISTRATION:
Adults: $30 Children under 15yrs: $15 8:30am Check-in & Registration.
Children 4yrs and under: FREE T-Shirt Collection**
The Walk & Roll is both a fundraising
Pre-register on racedayworld.com
9:00am Warm Up opportunity as well as a fun event for
or go to windreach.bm
everyone. 100% of the funds raised go
NOTE: 9:15am 5k Walk and Rollers start towards programmes and activities at
Event day registration: $5 LATE FEE WindReach Bermuda, to benefit our
9:30am 2.5k Walk and Rollers start
special needs communities.
PARKING:
Astwood Park with mini-bus shuttle service **Event T-shirts available on a first come,
available to WindReach. Wheelchair users first served basis. Limited availability. SPONSORED BY
will have designated parking at the
WindReach property.

For more information go to our website:


windreach.bm or by emailing
windreach@windreach.bm or by Supported by
calling 238-2469.

Você também pode gostar