Society of St. Vincent de Paul Friends of the Poor Walk
Goat Island, Niagara Falls State Park
Saturday September 24, 2022
Registration: 8:30am – 10:00am
Walk Begins at 10:00am
There is no registration fee for walkers. All walkers will solicit pledges in support of their walk. Pledges can be submitted with the paper registration and at the registration table the day of the FOP Walk.
The FOP Walk will be held rain or shine and will be one loop around Goat Island, approximately 1.2 miles, or any longer or shorter distance if the walker chooses. A post-walk picnic will be hosted by the Divine Mercy, St. Benedict, and Queen of Martyrs Conferences.
All funds raised through the FOP Walk will go directly to assist those in need in our communities, providing food, household goods and other services.
Friends of the Poor Walk 1298 Main Street Buffalo, NY 14209
First Name___________________ Last Name_____________________________
Street Address__________________________________________________________
City ___________ State ________________ Zip _____________________
Pledge Amount $Benefactor: (Check one)
Buffalo Council or Conference SSPP Wmsvl,
Daytime Phone __________________________ Evening Phone_______________
Email Address
T-Shirt Size:
Small Medium Large X-Large (SIZE NOT GURANTEED)
I recognize and acknowledge that there are inherent risks in my presence and participation in the St. Vincent de Paul Friends of the Poor Walk/Run on September 24, 2022. I acknowledge that this Accident Waiver and Release of Liability form will be used by the event holders, sponsors, and organizers, in which may participate, and that it will govern my actions and responsibilities at said events. In consideration of my registration and participation in this event, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors and assigns as follows:
and/or illness during this event.
I understand that at this event or related activities, I may be photographed. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by the event holders, producers, sponsors organizations and assigns.
I HAVE READ AND FULLY UNDERSTAND THIS WAIVER AND RELEASE OF CLAIM FORM.
Printed Name: _________________________________
Signature:_______________________________________
Date: Emergency Contact Phone Number:_________________________________
.
Goat Island, Niagara Falls State Park
Saturday September 24, 2022
Registration: 8:30am – 10:00am
Walk Begins at 10:00am
There is no registration fee for walkers. All walkers will solicit pledges in support of their walk. Pledges can be submitted with the paper registration and at the registration table the day of the FOP Walk.
The FOP Walk will be held rain or shine and will be one loop around Goat Island, approximately 1.2 miles, or any longer or shorter distance if the walker chooses. A post-walk picnic will be hosted by the Divine Mercy, St. Benedict, and Queen of Martyrs Conferences.
All funds raised through the FOP Walk will go directly to assist those in need in our communities, providing food, household goods and other services.
Friends of the Poor Walk 1298 Main Street Buffalo, NY 14209
First Name___________________ Last Name_____________________________
Street Address__________________________________________________________
City ___________ State ________________ Zip _____________________
Pledge Amount $Benefactor: (Check one)
Buffalo Council or Conference SSPP Wmsvl,
Daytime Phone __________________________ Evening Phone_______________
Email Address
T-Shirt Size:
Small Medium Large X-Large (SIZE NOT GURANTEED)
I recognize and acknowledge that there are inherent risks in my presence and participation in the St. Vincent de Paul Friends of the Poor Walk/Run on September 24, 2022. I acknowledge that this Accident Waiver and Release of Liability form will be used by the event holders, sponsors, and organizers, in which may participate, and that it will govern my actions and responsibilities at said events. In consideration of my registration and participation in this event, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors and assigns as follows:
- Waive, Release and Discharge from any and a!! liability for my death, disability, personal injury, property damage, property theft or actions of any kind which may hereafter accrue to me or my traveling to and from this event, the Society of St. Vincent de Paul, their directors, officers, employees, volunteers, representatives and agents, event holders, event sponsors, event directors and volunteers.
- Indemnify and Hold Harmless the entities or persons mentioned in this paragraph from any and all liabilities or claims made by other individuals and entities as a result of any of my actions during this event. t am aware the Society of St. Vincent de Paul does not provide health and accident coverage for me, and it is my responsibility to pay any medical bills from injuries sustained while participating in the Friends of the Poor Walk/Run.
and/or illness during this event.
I understand that at this event or related activities, I may be photographed. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by the event holders, producers, sponsors organizations and assigns.
I HAVE READ AND FULLY UNDERSTAND THIS WAIVER AND RELEASE OF CLAIM FORM.
Printed Name: _________________________________
Signature:_______________________________________
Date: Emergency Contact Phone Number:_________________________________
.