Walk 'n Roll for ALS: 2019

Start a Team
Please fill out the following. (An * indicates a required field.)

Team Name*

The team web address will be:
https://ssl.charityweb.net/alsofmichigan/walknroll/TeamName.htm

Team Fundraising Goal*

Number of Walkers 'n Rollers Expected

Walk 'n Roll Location*

As captain, you will be able to log in to personalize your Team Web page, your own web page, and view donations and members. You will be automatically registered as a member as well.

Title

First Name*

Last Name*

Address*

Address, line 2

City*

State/Province*

Zip/Postal Code*

Country*

Preferred Phone*

E-mail Address (and username)*

Confirm E-mail Address

Password*

Confirm Password*

Waiver**

I hereby waive all claims against ALS of Michigan, sponsors or personnel for any injury that I may suffer from my participation in this event. I grant full permission for organizers to use photographs, videotapes, motion pictures, recordings or any other record of this event in which I may appear for any legitimate reason. Having read this waiver and knowing these facts, and in consideration of this acceptance of my entry, I hereby for myself, my heirs, executors, administrators or anyone else who might claim on my behalf, covenant not to sue, and waiver, release and discharge ALS of Michigan, event officials, volunteers, and any other sponsors, suppliers, agents, independent contractors, employees and other personnel in any way assisting or connected with this event.

The power of teamwork!