Peace Walk Registration

Title:* First Name :* Last Name:* T-Shirt Size:*

Phone:*
(xxx-xxx-xxxx format only)

Email:*

Is this your first year at the Gandhi Peace Walk?:

If no, please list your prior years:

Optional Donation-Suggested Amount $20 per person $10 for students

$

By registering and walking at this event

  1. I am agreeing that I am in good health to walk in the Gandhi Peace Walk on Oct 2, 2016
  2. I will ensure my own personal safety during the Walk
  3. I will not hold any of the organizers of the Walk liable or responsible for any injuries I may suffer from the Walk.

If in agreement with the above: