Registration Form

Clearfield Jefferson 9th Annual Walk
for Suicide Prevention & Awareness

Sunday, September 9th 2018
DuBois City Park on Liberty Boulevard

Please, fill out the form below to register.

If you want to Join an existing Team or create a new Team, choose a Team name or enter a new Team name below.

< 18 18 - 59 60 +
I accept.
I grant permission to Clearfield-Jefferson Suicide Prevention Team to use and publish pictures of me taken at the event (read full Photo Release).
I accept.
I waive and release any and all rights for damages I may have with the Clearfield-Jefferson Suicide Prevention Team Walk (read full Liability Waiver).

You will be registered as an Individual.

If you want to join an existing Team, please click on "Join an Existing Team" above.

If you want to create a new Team, please click "Create a New Team" above.