Events

 

CaroMont
Heart Society
United Way

2020 heart walk

Sponsored by
Heart Society of Gaston County & CaroMont Heart

 

 

Thursday, May 7, 2020
Campus of CaroMont Regional Medical Center
Festivities will begin at 5:00 p.m. and the warm up
for the walk will begin at 5:30 p.m.

 

All proceeds benefit the Heart Society of Gaston County


Walker Registration & Waiver Form

$12 Signup Fee

 

Complete this form only if you plan to walk at the event.

 

*Participant Name:

Mailing Address:

Work Telephone:

Home or Cell:

*Your E-mail Address:

If walking with a group, please list the Team Name

Shirt Size:

 

WAIVER: In consideration of my participation in the Heart Walk, I hereby for myself, my heirs and personal representatives assume any and all risks which may be associated with the event, and I further waive, release, discharge and covenant not to sue The Heart Society of Gaston County, or CaroMont Health, their Officers, Members, Sponsors, Organizers or other representatives or successors and assigns, for any injuries or damages of any kind what so ever as a result of taking part in the event and related activities.

 

* I have read, and I understand the waiver. I accept the terms.

 

  

*required

 

1201 East Garrison Blvd. Gastonia, NC 28054 Phone: 704-865-1214

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