Online Registration

WALKER REGISTRATION FEE:
Before Feb. 28th – Early Bird Price: $25
March 1st – 29th: $30
DAY OF EVENT $35
UNDER 10 FREE
On-site Registration opens at 7am
Non-Refundable
RAIN OR SHINE EVENT

 ASSEMBLE YOUR COMPANY OR FAMILY TEAM (4 OR MORE MAKE A TEAM)
• Anyone can form a team. We invite companies, organizations and clubs to gather their family and friends. There is not limit to team size.
• Wear your family or company T-Shirt.  Include all adults, youth, and children

The Arc's WALK FOR INDEPENDENCE Online Registration Form

  • Price: $25.00 Quantity:
  • CHILD WALKER - 10 AND UNDER ARE FREE

    CHILD WALKER 10 AND UNDER: FREE, BUT MUST BE REGISTERED DURING CHECKOUT
  • Price: $0.00 Quantity:
  • 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 WALKER

    Spirit Walkers- My spirit is willing, but my feet are not. Please include me among the “Spirit Walkers”.
  • $0.00
  • PERSONAL INFORMATION

    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
  • WAIVER

    Please read
  • 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.
  • WALKER INFORMATION

    All Walkers must be listed regardless of age.
  • FIRST NAMELAST NAMESTREET ADDRESSSTREET NAMECITYSTATEZIP CODEAGE 
    Add a new row
  • 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

  • American Express
    Discover
    MasterCard
    Visa
     
  • BILLING ADDRESS
  • If you have any comments regarding registration, please use the box below.
  • TOTAL

  • $0.00

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