9th Annual Augusta Walk for Brain Injury

Step 1 of 3: Submit

Full Name Email Phone Number Street Address City State Zip Code

Gender Male Female

T Shirt Size Participation Team Name

1. Pay Registration or Donation via online Credit Card: Note: Handling fees are included to cover credit card transaction fees. After registration is confirmed ....you must click on "Proceed to Payment" to ensure your registration or donation will be completed.
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2. Pay Registration or donation only by Check: Mail to:
NeuroRestorative, Attn: L. Hanson, 3648 Walton Way Ext., Augusta, GA 30309
*Comment field on check: note Augusta Walk-Registration Fee or -Donation Only

Registration Optional Online Credit Card Donation (includes cc handling fee)

By checking the box below I know that the event I am entering carries the risk of personal inury or damage. I hereby waive and forfeit all rights I may have to file suit or make claims against all persons connected with the walk for injuries I may suffer at this event on march 24, 2018. I understand that no refunds can be made if the event is cancelled due to weather conditions or other circumstances beyond the control of the organizers.

Walk Waiver