Walker/Runner Registration Form

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Thank you for your interest in participating in this year's 2020 Walk/Run for Funds supporting Safe Space Inc., sponsored by Walking in Heels, LLC.

October is National Domestic Violence Awareness Month.

Join us on October 31st from 12pm - 2:00 p.m. at Franklinton Park at 99 Park Ave. Franklinton, NC 27525

Virtually? In-Person? You decide!
Walk at Franklinton Park OR participate with a personal “at home” virtual walk.
Whichever you choose will have a huge impact!

Complete the form below and make your participation payment. Include your name & DVAM Walk/Run
Participation Fee:
- $20 per adult walker (age 18-65)
- $10 per walker (under the age of 18 or over the age of 65)

Thank you for being apart of change, each dollar raised will go towards making a difference in the lives of domestic violence victims across Franklin County and surrounding areas. Together, we can end domestic violence.

Please provide the information below in order to register for the 2020 Walk/Run for Funds.

Team Name or Individual Name *

Email Address

Do you plan to walk virtually or in-person? *

In Person at Franklinton Park located at 99 Park Ave. Franklinton, NC 27525

Virtually at Home

Donation

List of Walkers/Runners & Ages

Total Number of Walkers/Runners

You agree to the standards and conditions, that you will maintain social distance regulations of 6ft along with wearing facial masks while interacting with others outside of your party.

Yes

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