TANA MID ATLANTIC FATHER'S DAY CELEBRATION

Registration for TANA MID ATLANTIC FATHER'S DAY CELEBRATION

I understand that trekking and outdoor activities involve physical activity and inherent risks. I voluntarily choose to participate, and if applicable, I am the parent or legal guardian responsible for accompanying and supervising any participating minor(s). I acknowledge that TANA will not accept any responsibility or liability for me or any participating minor(s), including for any injury, accident, loss, or damage that may occur under any circumstances. Participation is strictly at my own risk.

Participant Details

First Name *

Last Name *

Email ID *

Phone No * (Should be Whatsapp compatible to receive communications)

Address *

City *

State *

Zipcode *

Emergency Contact Name

Emergency Contact Number

TShirt Size

Registration Types

Category	Price	Quantity	Amount
Per Family	$5		$0

Donation Amount :

$50

$100

$250

$500

$1000

Other

Comments

Card Details

Card Number *

CVV *

Exp Month *

Exp Year *

Security Code: * 6 + 6 =

Registration Amount : $0

Donation Amount : $0

Net Amount : $0

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