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STEP UP TO PREVENT SUICIDE COMMUNITY WALK

Sunday, September 15, 2024
12:00 PM 3:00 PM

Medina Public Square Public Square Medina, OH, 44256 United States (map)

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Walk Participant Registration:

Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Age Group

Shirt Size

Free t-shirt give away. Limited quantities available- priority for those who register first.

How Did You Hear About This Walk?

Do You Agree To The Waiver Of Liability Terms?

If under the age of 18, a parent or legal guardian must read and agree to the terms of the waiver of liability. I specifically consent to participation in the Medina County Coalition for Suicide Prevention, Step Up to Prevent Suicide Community Walk on September 15, 2024. I am eighteen (18) years of age or older, or am consenting as a legal parent or guardian. I hereby release, indemnify and hold harmless Alternative Paths, Inc., members of the Medina County Coalition for Suicide Prevention, agents, employees, volunteers and assignees from any and all liability, claims actions, demands, and judgments arising out of any injury or loss sustained by myself, or my family in connection with travel to or from, and participation in the Step Up to Prevent Suicide Walk. I understand that participating in the Step Up to Prevent Suicide Walk is a physical activity and that participants should not enter or participate in any manner unless medically and physically able. I assume all risks associated with participation in the walk by myself or a participant for whom I am a legal parent or guardian, including injuries to person and property, or death, whether caused by negligence or otherwise. In the event of a medical emergency, I assume all costs associated with any treatment required by myself or a participant for whom I am a legal parent of guardian. I have read, fully understand, and voluntarily accept this waiver of liability.

Yes

Are You 18 Or Over?

Yes

Name Of Parent/Guardian Consenting For Minor

Make A Donation

We would be grateful for your support as a sponsor of the Step Up to Prevent Suicide Community Walk which will allow us to continue to implement many of the suicide prevention initiatives we have in the community!

Please review the sponsor levels below! If you have additional questions, reach out to dalthen@alternativepaths.org

Name and logo printed on all walk marketing materials including printed ads, signage day of the event, website, and giveaway items to be given to all walkers.
Name listed on website, printed on giveaway items, and signage day of the event.
Name listed on website and signage day of the event.
Name listed on website.
(Name listed does not have to be your personal name. Other examples include: “Anonymous”, “In Memory of”. Please email dalthen@alternativepaths.org if you want something other than your name listed. )

Sponsorship Registration:

Suicide Walk Sponsorships

Choose Level:

$1000 - Platinum $500 - Gold $250 - Silver $125 - Bronze

Quantity:

Add To Cart

2024 Walk Sponsors:

Platinum Level Sponsors

Blue Coats of Medina County

Cleveland Clinic- Medina Hospital

Alternative Paths, Inc.

Medina County ADAMH Board

Medina County Police Activity Leauge

Medina County Police Department

City of Medina

Gold Level Sponsors

Chippewa Lake Lions Club

Medina County Police Chief’s Association

Medina Veteran’s Services Commission

Plastipak

Root Candles

Ohio Guidestone

Silver Level Sponsors

Homestead Insurance

Medina County Health Department

Hope Recovery Community

Sandridge Crafted Foods

Bronze Level Sponsors

Drug Mart

Live Life Ludic

In-kind Sponsors

Wadsworth Community Radio

STEP UP TO PREVENT SUICIDE COMMUNITY WALK

Walk Participant Registration:

We would be grateful for your support as a sponsor of the Step Up to Prevent Suicide Community Walk which will allow us to continue to implement many of the suicide prevention initiatives we have in the community!

Sponsorship Registration:

2024 Walk Sponsors:

Platinum Level Sponsors

Gold Level Sponsors

Silver Level Sponsors

Bronze Level Sponsors

In-kind Sponsors

Privacy Policy

Client Rights

STEP UP TO PREVENT SUICIDE COMMUNITY WALK

Walk Participant Registration:

We would be grateful for your support as a sponsor of the Step Up to Prevent Suicide Community Walk which will allow us to continue to implement many of the suicide prevention initiatives we have in the community!

$1,000 Platinum Level

$500 Gold Level

$250 Silver Level

$125 Bronze Level

Sponsorship Registration:

2024 Walk Sponsors:

Platinum Level Sponsors

Gold Level Sponsors

Silver Level Sponsors

Bronze Level Sponsors

In-kind Sponsors

ETHICS TRAINING (Virtual)

Privacy Policy

Client Rights