Claudia Jasso-Stevens, Amistades Walk To Stop Underage Drinking & Drugs

1. Walk to Stop
Underage Drinking & Drugs
REGISTRATION FORM
Individuals & Families Welcome!
Help Save Lives! Join our Well Paved Stroller-Friendly Path!
Pet’s On A Leash Welcome!
prevention efforts! REGISTRATION FEES:
DATE AND TIME: Ages 18 & Up $20 / Ages 6-17 $10
Saturday, October 16, 2010 Registration forms should be submitted by October
Registration starts at 7:30AM 13, 2010, accompanied by a check and mailed to:
2 Mile walk begins at 8:30AM Amistades, Inc.
1 Mile walk begins at 9:00AM 680 W. Prince Road, Suite 110
Tucson, AZ 85705
LOCATION AND DIRECTIONS:
Rillito River Park Please make checks payable to Amistades, Inc.
Path Onsite registration will be available; pre-registration
is encouraged. Cash & checks will be accepted on
COURSE: site.
Maps of 1 mile
and 2 mile ABOUT AMISTADES, INC:
walking paths on Amistades, Inc. is a non-profit 501 (c) (3) community
back. development and substance abuse prevention
organization. The mission of Amistades is to provide
culturally competent prevention services to reduce
the use of alcohol, tobacco, and other substance
abuse problems affecting Latino youth and families.
REGISTRATION FORM: I certify to the best of my knowledge that I am physically fit
First Name: Last Name: and have no medical condition that could likely worsen by
participating in this event. I am fully aware and assume all
Email: risks associated with participating in this event. I under-
stand that the walk is in a public area and that participation
Street Address: could be hazardous. In consideration for accepting my
entry, I the undersigned, intending to be legally bound
City: State: Zip: hereby for myself, my heirs, my executors, and administra-
Daytime Phone: Evening Phone: tors, contractually waive and release any and all rights and
claims for the damages I may suffer or which may arise
Age as of 10/16/10: Total Registration $: against Amistades, Inc. and any sponsor of this event for
any and all injuries occurring by reason of the negligent
I plan to participate in: acts or omissions of Amistades, Inc., sponsors or otherwise
from claims and damages suffered by me or to by property
1 Mile Walk arising out of connection with this event. I also grant full
permission to Amistades, Inc. and sponsors to use photo-
2 Mile Walk graphs, motion pictures, videotapes, recordings, or any
Signature: Date: other record of this event for any legitimate purpose. My
signature verifies that I have read and agree to the terms
Co-Signature: Date: stated above. I understand that unsigned entries will not
(if under 18 years of age, a parent or guardian must sign) be accepted.
“The Flowing Wells School District neither endorses nor sponsors the organization or activity represented in this
document. The distribution of this material is provided as a community service.”

2. QUESTIONS: Please send email inquiries to claudiajassostevens@amistadesinc.org or call Joe at 520-955-3907.