WEST BROADWAY COMMUNITY MINISTRY

West Broadway Community Ministry provides programs that respond to the physical, emotional,
and spiritual needs of people of the community.

WalkAMile Registration

Walk a Mile in My Shoes: Registration Form

Saturday, September 29, 2018
Event from 10 AM - 1 PM
Registration: 9 AM
Location: West Broadway Community Services Inc.
(222 Furby St. Winnipeg, MB)

Do we have your permission to contact you by email with updates?
Yes
No
Would you like to be added to our quarterly newsletter?
Yes
No
*Liability Waiver: (Note: online registrations will be asked to sign a hard copy waiver on September 29, 2018) I certify that I am entering WALK A MILE IN MY SHOES at my own risk and shall not hold the organizers responsible for any injuries, acciden
I agree
For participants under 18 years of age: I, parent/guardian of the participant, whose particulars appear above, confirm that I fully understand and appreciate the effect of the above waiver and hereby agree and declare on behalf of the participa
I agree
*Media/Photo Permission: By taking part in Walk a Mile in My Shoes, I unequivocally grant West Broadway Community Services and 1Just City consent to the photographing of myself and the recording of my voice and the use of these photographs and /or rec
I agree
Rules and Regulations:

1.
Date of Event: Saturday, September 29, 2018. Registration at 9 am. Event from 10 am 1 pm.

2.
A minimum of $25 in pledges per person is required for participation. 

3.
Minimum pledge to be considered for prizes: $100

4.
Pre-registration is required to receive your pledge forms. Pre-registration deadline is September 14. Printed registration forms can be returned to West Broadway Community Services by email  to  wbcmoffice@gmail.com (preferred), in person at 222 Furby St., by mail to  102-222 Furby St. Winnipeg, MB R3C 2A7 or by fax to 204-783-9908.

5.
Pledge forms can be returned to WBCS prior to the event and on September 29, 2018. Cheques may be made payable to West Broadway Community Services. Receipts will be issued by WBCS for donations of  $25 or more.

6.
Privacy Policy: West Broadway Community Services respects your privacy. Your personal information may be used by WBCS alone to provide you with information about this ministry.


More information about Walk a Mile in My Shoes can be found at westbroadwaycm.org.