Hope and Guidance. Call us today 1 (800) 329-2959
Home
Abortion
Symptoms
Services
Ultrasound
Contact
Partners
Donate
To register please fill out the information below.
*
Indicates required field
Walker's Name
*
First
Last
Minor Child's Name
*
First
Last
Minor Child's Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Email
*
Which church or organization are you attending with?
*
I am:
*
Adult
Teen
Child
Have you walked in the Walk For Life before?
*
Yes
No
When you raise $175 you will receive a free T-shirt. What size will you need?
*
Youth Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult 2X
I am unable to walk, but would like to make a donation of $____
*
Make checks payable to LOC Resources, and mail to PO Box 721, Jefferson City, TN 37760
By checking below you hereby release Life Outreach Center and Morristown Parks and Recreation from any liability for this event. Further you hereby grant full permission to any and all the foregoing to use any photographs, videotape, motion picture, recording and any other records of this event for any legitimate purpose.
*
Agree
Submit