Fall Block Walk Registration

Register today to join our [free] walk for heart health

JOIN OUR WALK

FOR HEART HEALTH!

Saturday, October 14th
Desert Valley
Charitable Foundation

Address: 16716 Bear Valley Road, Victorville, CA 92395

Check-in

7:00 AM: Check-in
8:00 AM: Walk Begins

For registration and information please call Member Services:

760-381-8083

Free shirt for the first 50 participants

Register Today to Join Our Walk for Heart Health

FALL BLOCK WALK 2023 REGISTRATION

Name

Address

Address Line 1

Address Line 2

City

State

Phone

Shirt Size

Email

I am a:

DVMG Member

DVMG/ DVH Employee

Non-DVMG Member

Other

Date

WAIVER & PHOTO RELEASE: In consideration of my participation in the Block Walk 2023, I hereby for myself and my heirs, executors and administrators, waive and release all rights and claims for damages of every kind and nature, whether known or unknown that I may have against Desert Valley Charitable Foundation, Desert Valley Hospital, Desert Valley Medical Group and all staff and volunteers, For any and all injuries suffered by me by participating in this walk. I acknowledge that participation in this walk is a potentially hazardous activity and I agree to comply with all the rules, regulations, and instructions. I also state that I am in proper physical condition to take part in said activity

Participant Signature