Jacob's Joy Walk by Faith Registration & Order Form

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Please complete this form to register for the walk (registration for the walk is ALWAYS FREE)
You can also use this form to order your personalized OR awareness items

Pricing is as follows:

T-Shirts $18 (2XL & 3XL+$20 4XL $22)
Pickup the day of the walk or arrange a meeting in or near Oak Harbor in the week following the walk
OR shipping is $7

Car Window Decals $7 (shipping is $3)
Double Sided Sign $30 (shipping unavailable)
Bracelet $1 (shipping is $3)
*shipping may be combined when ordering multiple items

Your Name *

Email *

Please list names of all those who will be attending the remembrance walk in person as well as the ages of any children (under 18) *If you are not attending in person, please put NA *

Please sign your name below to agree to the following: In consideration of you accepting this entry, I, the participant, intending to be legally bound do hereby waive and forever release any and all right and claims for damages or injuries that I may have against the Event Director, Jacob's Joy, Hopfinger Zimmerman Memorial Park, all agents assisting with the event, sponsors and their representatives, volunteers and employees for any and all injuries to me or my personal property. This release includes all injuries, illnesses and/or damages suffered by me before, during or after the event. I recognize, intend and understand that this release is binding on my heirs, executors, administrators, or assignees. I assume all risks associated with participating in this event including, but not limited to: falls, contact with other participants, the effects of weather, traffic, and course conditions, and waive any and all claims which I might have based on any of those and other risks typical found in walking on an unpaved path. I acknowledge all such risks are known and understood by me. I agree to abide by all decisions of any Jacob's Joy official relative to my ability to safely complete the walk. In the event of an illness, injury or medical emergency arising during the event I hereby authorize and give my consent to the Event Director to secure from any accredited hospital, clinic and/ or physician any treatment deemed necessary for my immediate care. I agree that I will be fully responsible for payment of any and all medical services and treatment rendered to me including but not limited to medical transport, medications, treatment and hospitalization. By submitting this entry, I acknowledge (or a parent or adult guardian for all children under 18 years) having read and agreed to the above release and waiver. Further, I grant permission to all the foregoing to use my name, voice and images of myself in any photographs, motion pictures, results, publications or any other print, videographic or electronic recording of this event for legitimate purposes. *

Prior to the walk, we will have a ceremony which will include a reading of the names of all the babies we are honoring. Please list your babies name(s) if you would like to include them in the ceremony and a description of how to pronounce them.

If you are ordering remembrance items, how would you like to receive your items?

Pick up day of the walk

Pick up items by November 25th- after this date Jacob's Joy reserves the right to resell the item(s) without a refund

Please ship my items

Clear selection

If you need your items shipped, please include your address *Shipping cost is $5 (total) for shirts and $3 (total) for window decals and/or bracelets- if ordering with shirt(s) shipping is $5 total. **We cannot ship yard signs

T-Shirt Preview

Baby(ies) name(s) to include on the back of the shirt

Shirt order form PLEASE NOTE: the form must be completed and emailed to JacobsJoy2134@gmail.com AND must be paid THROUGH Phaze 1 Screenprinting.
Shipping is paid to Jacob's Joy as are all other items.

ALL shirt orders are due October 15th 2023