2022 Team Registration With Star

Clyde, KS
October 2, 2022
1:00pm - Activities
3:00pm - Announcements.
Walk follows.

This form registers your team with your Star.

If you have any questions, please contact Shella Thoman at [email protected] or call 785-275-1777.

Click here to register without a star.

2022 Team Name

If your team is not listed, please contact Shella Thoman at [email protected] or call 785-275-1777.

Official NCKDSS Member

If your star is not listed, please contact Shella Thoman.

Team Captain

Street Address

City, State, Zip Code

Phone Number

We want a Team Picture.

Yes
No

Preferred picture time.

Prior to the walk.
After the walk.

Participate in Tent Space Decorating Contest.

Yes
No
Maybe

What is your Tent Theme?

We will provide a Scavenger Hunt item.

Yes
No
Maybe

What scavenger item(s) will you provide?

Extra Brochures (optional)

Extra Event Posters (optional)

Team Shirt

Available in Long and Short Sleeve. Both selections are required.
If no selection, shirts will be white.
First color is Adult / Second color is Youth
Sample Shirt Colors: Click Here

Short Sleeve Color Combination

Long Sleeve Color Combination

Waiver. In acceptance of me or my child's entry to participate in the 2022 Buddy Walk, I hereby release NCKDSS, the City of Clyde, USD 224, and any affiliated individuals of the event from any and all causes of actions, suits, damages, happenings which may relate to or arise in any manner from my participation in the event. I also authorize the use of any photographs of my child or myself that may be used for promotional materials of the NCKDSS event.

I agree to the Waiver.

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