IA Fun Walk – Inspire and Achieve

Select your Registration:*

Registration fee of $15 per person
Registrants will receive: T-shirt and Water along the route
“Challenge” Route: It is recommended only if 1. You are fit enough to walk up and down hills. 2. Do not suffer with joint related health issues. 3. You are prepared for the challenge.

Registration fee of $20 for an individual
Registrants will receive: T-shirt and Water along the route
“Challenge” Route: It is recommended only if 1. You are fit enough to walk up and down hills. 2. Do not suffer with joint related health issues. 3. You are prepared for the challenge.

Group Name

Group Type:*

Name*

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Sex:

Date of Birth

MM

DD

YYYY

Shirt Size*

Phone

Number of Individuals Registered*

Please enter a number greater than or equal to 3.

Group Registration*

Price: $15.00

Registrant Details*

For each registrant please provide the following information in an attached word, text, excel, or pdf document:

Registration Fee - $20.00*

Payment Method*

Inspire & Achieve Corporation
P.O. Box 978
Huntsville, AL 35804 0978

Total

$0.00

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