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Edward I. & Freda Fleischman Residence
Louis C. & Edith B. Blumberg Plaza
6710 West Maple Road
West Bloomfield, Michigan 48322
(248) 661-2969
Fax (248) 661-1628

 

 

Walk of Ages

6th Annual Walk of Ages
Make plans to attend the 6th Annual Walk of Ages, sponsored by the Auxiliary for Jewish Home & Aging Services on Sunday May 18th, 2008 at the Eugene and Marcia Applebaum Jewish Community Campus

 Team Information
Your Name  
Team Name
# of Team Members 
Street  
City  
State 
Zip 
Daytime phone
Evening phone
Email
Fax
Email:
 Registration Entry Fee
Individual
includes 1 T-shirt 
early registration
$18.00
Family
up to 2 adults, 4 children &  2 T-shirts
early registration
$36.00
Team Spirit
team of 5-9 walkers & T-shirts
early registration
$118.00
Team Spirit
team of 10-19 walkers & T-shirts
early registration
$236.00
Team Spirit
team of 20+ walkers & T-shirts
early registration
$354.00
 T-Shirts
Extra Large Qty.
Large Qty.
Medium Qty.
Small Qty.
Additional shirts may be purchased at the event
 Terms & Conditions

We recognize and hereby expressly assume the risks of illness and injury inherent in any exercise program, and I am participating in this event upon the express agreement and understanding that I am hereby waiving and releasing Walk of Ages and any and all of their affiliated corporations and/or associations.

I hereby give the right and permission to Walk of Ages to use my recorded voice and photographic images through any medium.  I waive any right to inspect or approve the printed matter that may be created in conjunction with the eventual use for any Walk of Ages program.

By completing this form I confirm that I have read the risk and permission statement and agree to the terms and conditions set forth by Walk of Ages Program.

Copyright 2007 - Auxiliary for Jewish Home & Aging Services