Awareness Walk Client Registration

Southwest Florida Epilepsy Awareness Walk On-line Registration

Saturday, April 27, 2019
Lakes Regional Park, Fort Myers
8:30 am Registration Opens
9:30 am Walk Starts

Registration for clients is FREE.  Each participant must complete a separate Registration Form.

Epilepsy Awareness Walk Participants receives a t-shirt, lunch & parking pass .  Event is at Lakes Regional Park in Fort Myers.

Adult - t-shirt, lunch and parking pass are included with registration
Child (under 12) - t-shirt, lunch and parking pass are included with registration



I want to order an Additional T-shirt

Participant Waiver

I, for myself, my heirs and personal representatives, waive all rights and claims for damages and injury that may occur as a result of my participation in the Southwest Florida Epilepsy Awareness Walk. I attest that I am physically fit and have sufficiently trained to participate in this event. Further, I hereby release the City of Fort Myers, Epilepsy Services of Southwest Florida, all sponsors and their representatives from any and all claims of damages, demands, actions whatsoever in any manner as a result arising from my participation in said race. I agree to allow my name and picture to be used in coverage of this event for legitimate purposes. This event takes place rain or shine. I understand that my registration fee is non-refundable.

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No Payment is Required

Clients and family members are FREE