Participants Name (required)

Team Captain and Team Name

Phone Number(required)

Your Email (required)

Age (required)
Child (12 and under)Youth (13-18)Adult (19+)

Address- Street (required)

Address- City, Postal Code (required)

T-Shirt Size(required)

Pledges in Memory Of

Pledges in Honour Of

I hereby agree and absolve and hold harmless McNally House Hospice, corporate sponsors, co-operating organizations and any other parties connected with this event in any way, singly or collectively, from and again any blame and liability for any injury, misadventure, harm, loss, inconvience, or damage hereby suffered or sustained as a result of participation in McNally Houses HIKE FOR HOSPICE or any activities associated herewith. I hereby consent to and permit emergency treatment in the event of injury or illness. I also give full permission for use of my name and/or photo in connection with this event.
I agree

Additional Questions

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