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Walk or Bike for the Earth: Sunday, April 18, 2010
Register online by Wednesday, April 14
Register by phone (216) 281-6468 by Thursday, April 15.
Register at the Zoo or at remote bike locations on Sunday, April 18.
___________________________________________________
Registrant Information:
First Name
*
Last Name
*
Primary E-mail
*
Primary Phone
*
Street Address
*
City
*
State
*
AL
AK
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip
*
___________________________________________________
Participant Information:
*
I/we want to Walk for the Earth-start at the Zoo
I/we want to Bike for the Earth (choose location below)
from Dewey's Shaker Sq.
from The Root Lakewood
from Phoenix Downtown
from Canal Visitor Center at CVNP
Team Name (if any)
Number of participants
*
Additional Participant info: (Name,email,phone,address) If no additional participants, enter none
*
You must sign a waiver to participate in the Walk or Bike for the Earth. Your waiver will be available on event day. If younger than 18 years, your parent/guardian must also sign your waiver.
Choose Tickets
*
Family Registration (2 Adults, 2 Children ($
30
)
1 Adult ($
15
)
2 Adults ($
30
)
3 Adults ($
45
)
4 Adults ($
60
)
5 Adults ($
75
)
1 Child >12 ($
8
)
Total : $
0
Note: There is NO SHIPPING on tickets. Please verify that you select "Pickup $0.00" when you are finalizing your ticket(s) purchase.
