Pinehouse Drive SDA Church

Giving

Let’s Move Day 2025

 

 

 

 

 

 

 

REGISTER BY JULY 25 IF YOU WANT A T-SHIRT

NO T-SHIRT, AUGUST 23, 2026

Let’s Move Day

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Name*
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Emergency Contact*
Pick Your Event Category*
Choose Age Category*
Would you like to purchase a t-shirt for the event ($25 each)? If so, please note that payment should be made in person to Elaine Bubnick (306-374-7412) by July 25, 2025. Unfortunately, we cannot accommodate any orders after this date. Thank you.*
Permission to contact you for future events by Pinehouse Drive SDA Church!*
CONSENT TO HEALTH WALK/RUN AND WAIVER OF LIABILITY 1. Consent to Participate: I acknowledge and agree that I am voluntarily participating in this health walk/run and associated activities. I further acknowledge and understand that this walk/run and its associated activities is for the purpose of engaging in physical activity and I acknowledge that I am taking part in this walk/run as a willful participant. 2. I acknowledge and understand the risks involved in my participation in this walk/run (and its associated activities) and am aware that I have no medical condition/illness that prevents me from participating or completing this walk/run and its associated activities. 3. I acknowledge and understand the risks involved in this walk/run and its associated activities and hereby absolve the organizers of this event from any injury, accident or incident that follows as a result of my participation in this event. I acknowledge that I will not hold the organizers of this event or the Pinehouse SDA church liable for any medical emergencies that may occur as a result of natural acts of God such as sunburns, fainting, natural weather occurrences or other injuries. HEALTH WALK/RUN PARTICIPANT ACKNOWLEDGMENT: I have read this form, or had it read to me, and understood the contents of this form. I believe that I have the knowledge upon which to base consent to participate in this health walk/run and its associated activities. All questions have been answered to my satisfaction. I hereby give consent to all that has been indicated above. My permission to participate in this health walk/run and its associated activities is given voluntarily. I understand that I am free to stop at any point, if I so desire. I also fully understand the attendant risks and discomforts. To agree to participate in this health walk/run and its associated activities, please sign and date this consent and release form. Thank you.*