Walk a Mile with a Child

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National Medical Association

Walk a Mile with a Child Stuck in an exercise/fitness rut? Let NMA show you how to put some fun into exercising! Join us on Saturday, July 27th as we kick-off the National Medical Association's 2013 Annual Convention and Scientific Assembly with our sixth annual Walk a Mile with a Child...Toronto Style! We have planned lots of fun activities and contests for all shapes, sizes, and ages (above seven years old). So, don’t forget to bring your tennis shoes and work out pants (we’ll supply the tee shirts)!

Walk Information Date:

Saturday, July 27, 2013

Location:

The Fairmont Royal York Hotel, Toronto, Canada

Times:

6:45 am - Registration/Check In 7:00 am - Welcome 7:15 am - Warm Up 7:30 - 8:15 am – Workout Classes 8:15 am - Breakfast Touchdown Dance NMA-zing Challenge, Hula Hoop, and 10,000 Steps FREE All... Members, Family, Exhibitors, Guests, and the Community

Contests: Cost: Open to:

Your Information First Name

Middle Initial

Last Name

State

ZIP

Age (on 7/27/13)

Date of Birth

Address City Gender:

Male

Female

Phone

E-mail

Questions or Concerns? Please fax in your Registration Form to 301-495-0359. Phone: Yolanda Fleming at 800-NMA-0554, ext. 261 Website: www.NMAnet.org Email: [email protected]

Waiver of Liability In consideration of this entry in the Walk a Mile with a Child Event, I waive any and all claims for myself and my heirs against officials, sponsors and volunteers of this event for injury or illness which may result directly or indirectly from my participation. I further state that I am in proper condition to participate in this event. I give permission to authorize emergency treatment if necessary. I will permit the use of my name and/or picture for any broadcast, telecast or other account of this event. The Association reserves the right to cancel this event. In the event of cancellation, a notification will be sent to you.

Signature Signature Parent/Guardian if under 18 years)

Date