Watch for Buddy Walk pre-registration in early September or print and complete this form. Click on the printer icon to the right to print.

Bring your completed form to the Missoula Buddy Walk event with your check for registration fees in order to get this year's official Buddy Walk T-shirt. For more information contact: Mary Ann McGowan, event coordinator (Phone: 406-549-7797 or via E-mail: register@missoulabuddywalk.org). The Missoula Buddy Walk is Saturday, September 6, 2008, 11:00 a.m. at Playfair Park next to Splash Montana in Missoula, Montana. Come early at 10:00 a.m. to register on site.

Walker's Name_______________________________________________________________

Company/Team Name/ or Family Name ____________________________________________

___________________________________________________________________________

Street Address_______________________________________________________________

City_____________________________ State______________________ Zip_____________

Daytime phone #_____________________________________________________________

E-Mail address_______________________________________________________________

Total number of walkers_______________________________________________________

___ Buddy Walk Friends with special needs = free

___ Individual/Team Member Registration = $10.00

___ Additional Children 13 and under = $5.00

___ I cannot participate in the walk, but please accept my donation in support of the Missoula
       Buddy Walk. $___________ Missoula Buddy Walk, 1240 Greenough, Missoula MT 59802.

___ I have enclosed a check for my registration fee or donation. $____________________

___ Please contact me to volunteer for the Missoula Buddy Walk
       (phone/email) __________________

___ My Company has matching funds. Attached is a matching gift form $_______________

WAIVER: In consideration of me and/or my minor child being permitted to participate in the Buddy Walk, I hereby - for myself, my heirs and personal representatives - assume any and all risks which might be associated with the event. I further waive, release, discharge and covenant not to sue the National Down Syndrome Society or Missoula Buddy Walk, its officers, employees, sponsors, organizers, volunteers or other representatives or their successors and assigns, for any and all injuries or damages of any kind whatsoever suffered by myself and/or my minor child as a result of taking part in the events and any related activities. I also authorize the use by NDSS and the Missoula Buddy Walk of any photo, film or videotape taken of me or my minor child at the event for any purpose in promoting future Buddy Walks.

Signature______________________________________    Date_______________________

This registration is not valid unless signed.