Unit Price (USD)

Conference Registration for Siblings
(Includes Children & Teens ages 9-17)  
$30.00 by June 26, 2009; $50.00 after June 26, 2009

To help us plan the size of the workshop rooms, please list by number the seven workshops you are most interested in attending.
(see workshop list)

Liability Waiver (Must be checked for Walk to Remember Registration to be processed) By checking the box to the right of this statement, in consideration of being accepted as a participant in the TCF Inc., Walk to Remember, I hereby affirm, acknowledge and agree to the following: 1. That I assume all responsibility for any and all damages to, or theft of, my personal property, or any bodily injury (including death) that may occur to me, and further, I assume responsibility for property damage and bodily injury (including death) that I may cause to others, in each case arising or resulting from, incidental to, or as a consequence of, my participation in the TCF Inc., Walk to Remember. 2. That I, for myself, my heirs, my executor and administrators, release and hold harmless from and waive all claims, damages, and rights of action, present or future, whether the same be known or unknown, anticipated or unanticipated, foreseen or unforeseen, arising or resulting from, incident to or as a consequence of, my participation in the  TCF Inc., Walk to Remember., which I may now or hereafter have against The Compassionate Friends, Inc., any business or companies along the route and any and all sponsors and volunteers for said event, and the respective directors, employees and agents of all the foregoing.  3. That I grant the permission for use of my name and/or picture in any broadcast, photograph, video, or other account of The Compassionate Friends, Inc, Walk to Remember; and 4. That I am aware of the physical demands and hazards of participating in a two mile walking event such as The Compassionate Friends, Inc., Walk to Remember.

* Indicates required field