Great Steps Registration
Please, select which walk you are registering for?
Your name:
Address:
Town:
State:
Zip Code:
Phone Number:
Email:
If you are a new team, a team number will be provided after registration. In the meantime, please include a team
name. If you had a team last year, your number will be the same If you are joining an existing team, please put that
team's name and number.
Team Number:
Team Name:
Team Captain:
I DO NOT need an information packet.
List of Walkers - Be sure to list ALL walkers, including the person registering above.
First Name:
Age:
I'd like to volunteer the day of the walk.
Name(s) Volunteering:
How did you hear about the walk?
Registration fees are $20.00 per person or $25.00 per person the day of the walk. Children ages 4 to 10 are
$12.00. Children 3 and under are FREE.
Fees will be waived for each person raising over $100 and for the Virtual Walk
We're holding off on paying registration in the hopes of raising $100 per person.
We're sending a check to NF Midwest, 473 Dunham Rd Suite 3, St. Charles, IL 60174
We'll pay online later.
Release & Waiver
I agree, for myself, my heirs, executors and administrators, to not sue and to release, indemnify and hold harmless, NF, Inc. Midwest, its
affiliates, officers, directors, volunteers and employees, and all sponsoring businesses and organizations and their agents and employees,
from any and all liability, claims, demands and causes of action whatsoever, arising out of my participation in this event, including
pre-and post event activities-whether it results from the negligence of any of the above or from any other cause. I attest and verify that I
am sufficiently physically fit to participate in this event, and that I have no medical condition that prevents me from safely participating
herein. I understand that NF, Inc. Midwest, its sponsors, and/or news organizations will be photographing and videotaping this event. I
agree that any photographs, videotapes or other images containing my likeness are the sole property of the photographer and NF, Inc.
Midwest. I authorize the foregoing accounts, for publicity, in promotional material,  and for any other lawful purpose. Acknowledgement
of this waiver applies to everyone registered on this form at this time.
We acknowledge and accept the Waiver and Release above.
To register for one of our Great Steps walks fill in the form below or click here for a printable
registration form which can be mailed to 473 Dunham Rd, Suite 3, St. Charles, IL 60174; emailed
to
greatsteps@nfmidwest.org or faxed to 630-549-0671.