Buddy Walk Registration Form

To register for the Buddy Walk, please complete the form below.

First Name:

Last Name:

Address:

Address (cont):

City:

State:

Zip:

Phone:
(with Area Code)

Email:

Name of Family Member with Down Syndrome:

Birth Year of family member with Down Syndrome:

(for age appropriate notification of PADS activities and programs)

This registration/donation is being made in honor of/for TEAM:

All Walkers: $10 each
Kids 2 & under: free

Total # of Walkers:

Donor Only. I am unable to attend the Buddy Walk but would like to make a donation in support of the Buddy Walk and individuals with Down Syndrome.
Donation Amount:

Additional Contribution. In addition to being a registered walker for the Buddy Walk, I would like to make an additional contribution to show my support for individuals with Down Syndrome.
Additional Contribution Amount:

T-shirts are the receipt of registration to the Buddy Walk and the ticket to access all of the day's events. Please indicate Quantity of T-shirts needed per size.

  Child XS

  Child S

  Child M

  Child L

  Adult S

  Adult M

  Adult L

  Adult XL

  Adult 2X

  Adult 3X

Credit card type:

Credit card number:

Credit Card Expiration Date:

Exact name on card:

I am interested in Corporate Sponsor information for myself or my referral.

Please add my address to your mailing list. I would like to receive PADS mail outs.

Please add my email address to PADS email mail list. I would like to receive PADS notifications.

Please add my phone number to Calling Post to receive PADS announcements.

I am also interested in receiving information about the Down Syndrome Golf Classic.

I am also interested in receiving information about the Spring Conference.

Buddy Walk Participants by clicking on "I Agree," you agree, warrant and covenant as follows: Waiver: In consideration of me and/or my minor child being permitted to participate in the Buddy Walk, I hereby-for myself, my heirs and personal representatives assume any and all risks which might be associated with the event. I further waive, release, discharge and covenant not to sue Parent Advocates Down Syndrome and Regions Park Stadium, their sponsors, organizers, volunteers or other representatives or their successors and assigns, for any and all injuries or damages of any kind whatsoever suffered by myself and/or my minor child as a result of taking part in the events and any related activities. I also authorize the use by Parent Advocates Down Syndrome of any photo, film or videotape taken of me or my minor child at the event for any purpose.

PADS Refund/Return Policy - Parent Advocates Down Syndrome ascribes to a no refund/return policy. All transactions are considered final. Should you have any questions regarding this policy or other questions related to the operation of our organization please call 1-205-988-0810.

THE DSA COMMUNITY C.A.R.E.S.

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Buddy Walk Registration Form