2022 Save My Spot NCA Walks
Thank you for registering early for a 2022 Walk to End Alzheimer's Event! Please complete all fields below. All registrations will be completed in early January when our website launches. Staff will follow up after registration is complete.

Alz.org/ncawalks
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First & Last Name *
Email Address *
Phone
Which Walk Event would you like to registered for? *
Team Participation *
Team Name *
T-Shirt Size *
Yes! Send me more information about:
Anything else you'd like to share?
Agree to the Terms & Conditions *
ASSUMPTION OF RISK, RELEASE AND PERMISSION Walk to End Alzheimer's® involves walking - an activity which may include risks such as, but not limited to, falls, interaction with other participants, effects of weather, traffic and conditions of the road. In consideration of being allowed to participate in this event, I hereby expressly assume all risks, including bodily and personal injury, death, property loss or other damages of any kind arising in any way out of my attendance or participation in the Walk to End Alzheimer's and related activities. It is my responsibility to dress appropriately. Although route maps, rest stops, refreshments, and other assistance may be made available during this event, I am solely responsible for my own health and safety. I represent that I am physically fit and able to attend or participate in this event. I hereby for myself, my heirs, executors and administrators, release, discharge and agree not to sue Alzheimer's Association, its chapters, their respective officers, directors, volunteers, employees, sponsors and agents, from any and all liability, claims, demands and causes of action whatsoever, arising out of my participation in or attendance at this event and related activities whether resulting from the negligence of any of the above or from any other cause. I agree that my assumption of risk and release hereunder shall be as broad and inclusive as is permitted under applicable law. If any portion of this agreement is held invalid, the remainder shall continue in full force and effect. I grant full permission in perpetuity to the organizers of this event to use, re-use, publish and re-publish my name and image as a participant in the event in photographs, video or other recordings .The Alzheimer’s Association is committed to providing an environment free from harassment and discrimination. The Alzheimer’s Association strictly prohibits harassment and discrimination based race; creed; color; religion; gender; sex; sexual orientation; national origin; ancestry; age; veteran status; citizenship status; marital status; physical or mental disabilities; pregnancy, gender identity or expression (including transgender status); and genetic information any other characteristic protected by federal, state or local law. I have read, understand and agree to the terms of this agreement. If Participant is a minor, the parent or guardian must agree to the below: I am the legal guardian of Participant, and I hereby consent to his/her participation. I have read the foregoing agreement, and I hereby agree on behalf of myself and Participant to its terms.
Thank you for registering for a 2022 Walk to End Alzheimer's! Should you have any questions, please reach out to Faith Anderson at fanderson@alz.org or 703-766-9035.
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