The Second Chance Walk Registration Form
The Second Chance Walk
Saturday, September 19, 2009
Twin Lakes Park
Check-in from 8:30 – 9:30 a.m.
Walk will begin at 9:30 a.m. sharp
Registration: $10 per person
Walk as a TEAM:
Any group of 3 or more can be a Team. Be creative as a team and have fun. Each member/walker pays the $10
registration fee. Work together to get sponsors/donations for your team. Top 2 Teams & Individual walkers who collect
the most donations will receive recognition and an engraved plaque.
Complete and return to: Malinda Cecchini-Sherid
c/o The Second Chance Walk
231 LaCosta Drive
Greensburg, PA 15601
Checks made payable to CFWC c/o Second Chance Fund
City, State, Zip_________________________________________________________
Walking In Memory/Honor of ______________________________________________
T-Shirt size (circle one): Adult: Sm Med Lg XLg XXLg Children: Sm Med Lg
T-Shirts guaranteed for early registration postmarked by 9/1/2008. T-shirts are not guaranteed for late registration.
In consideration for the acceptance of my entry, I do herby release and discharge all sponsors, officials, or those associated with the Second Chance
Walk for all claims arising or growing out of my participation in the Second Chance Walk. I attest and verify that I am physically fit and have
sufficiently trained for the completion of this event.
(Parent/Guardian if under age 18 must sign)
"The official registration and financial information of The Community Foundation of Westmoreland County may be obtained from the Pennsylvania Department of
State by calling toll free, within Pennsylvania 1 (800) 732-0999. Registration does not imply endorsement."