Registration Form - Combat Blindness Foundation

Let the Light Shine

Thursday - August 21, 2008

Registration Form

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PLEASE NOTE: You will need a credit card to complete your online registration. If you do not have a credit card or would like to make a payment via check or cash please DO NOT fill out the online registration form. Contact Combat Blindness Foundation at 608-238-7777 or This E-mail address is being protected from spam bots, you need JavaScript enabled to view it .

2008 Sight Walk Registration Fee is $20.

First Name

Last Name

Street Address

City

State

Zip Code

Phone Number

E-Mail Address

TShirt Size
S M L XL

Waiver: By submitting this form, I hereby for myself assume all risks which might be associated with the 2008 5K Sight Walk. I waive all claims against the sponsors and organizers of the event, the City of Madison, and the Combat Blindness Foundation for any and all injuries or damages suffered by me as a result of taking part in the walk and related activities.

= Required

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6314 Odana Road | Madison, WI 53719-0332 | Phone: (608) 238-7777 | info@combatblindness.org