2022 WAT Individual Registration Form

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Walk Across Tennessee

Name *

Team Name *

Email *

Phone Number

Gender *

Female

Male

Prefer not to say

Race *

American Indian/Alaskan Native

Asian

Black

Native Hawaiian/Other Pacific Islander

White

More than 1 race

other

Are you *

Hispanic

Non-Hispanic

Prefer not to say

By checking the box below, I understand that the challenge begins on January 10, 2022 and ends on February 20, 2022, and I agree to accept full responsibility for any injuries I may sustain while participating in this program and hold harmless all Sponsoring Parties, to include the University of Tennessee Extension. *

I understand and agree.

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