Registration Form

Clearfield Jefferson 10th Annual Walk
for Suicide Prevention & Awareness

Sunday, September 8th 2019
E.J. Mansell Stadium

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).
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2019 Walk T-shirt

You can order the official 2019 Walk T-shirt by clicking this link.

Your Price: $8.00

Availability: Pre-Order now to be picked up at the walk

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.