Participant Liability Agreement:
Please enter me in the “Walk for Dyslexia-Madison”. I, on behalf of myself, my heirs, executors, and administrators hereby release the Children’s Dyslexia Center - Madison from any and all claims, damages, and rights of action I may have, present or future that may arise out of, or be incident to my participation in the Walk event. In addition, I grant permission for the use of my name and/or picture in any photograph, film or videotape of the event for any purpose. paragraph here.
Please use this form to contact us!
Thank you for your interest in our 9th Annual Walk for Dyslexia-Madison to be held on May 19th!
If you have any questions about the registration process, please contact us via the form below.