CHILD WALKER - 10 AND UNDER ARE FREE
CHILD WALKER 10 AND UNDER: FREE, BUT MUST BE REGISTERED DURING CHECKOUT
ADDITIONAL DONATION (not walker registration fee)
Support individuals with intellectual and developmental disabilities. All additional donations are used to support The Arc Walk for Independence, but are not walker registration fees.
The Arc Los Angeles & Orange Counties is a tax-exempt organization, under
Section 501(c)(3) of the Internal Revenue Code; therefore, your donation is
deductible to the full extent allowed by law.
In addition to the Walker Registration Fee, I would like to make a tax-deductible donation of:
GROUPS OF 4 OR MORE
If you have a team of 4 or more, please enter your team name here. If you would like a team sign, please contact our office at (562) 803-4606 x221. Sign deadline is March 24th.
Spirit Walkers- My spirit is willing, but my feet are not. Please include me among the “Spirit Walkers”.
Name of person filling out this form
Please enter your phone number where we can reach you if we have any question about your registration
All listed Walkers hereby waive all claims against The Arc Los Angeles & Orange Counties, 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.
All Walkers must be listed regardless of age.
YOUR REGISTRATION IS ALMOST COMPLETE
Thank you for your registration to The Arc's 22nd Walk for Independence! We are excited to have you join us as we walk for hope and Walk The Walk. We will mail your wristband, which must be worn for entrance into the event, as well as picking up your complimentary breakfast burrito, courtesy of Acapulco Restaurant.
CREDIT CARD INFORMATION
If you have any comments regarding registration, please use the box below.