Student Registration Form

Student Registration

DATE:
September 29, 2024

TIME:
2:00pm - 4:00pm

LOCATION:
Richmond Green Park
1300 Elgin Mills Rd E, Richmond Hill, ON L4S 1M5

First name

Last name

Phone Number

School that you are attending

Emergency Contact Name

Emergency Contact Phone Number

Waiver: I waive all rights of claims that I may have against One Heart Beat March, walk officials, administrators, or any other organizations or individuals associated with this event. I attest and verify that I am physically fit for participation in this event.

I give permission to have myself appeared in any public or media coverage, including but not limited to photographs, videotapes, recordings as approved by One Heart Beat March.

You have successfully registered!

An email will be sent to you shortly providing instructions to complete the donation process. Thanks for your support!

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