Annual Conference Information Upcoming Events Training Opportunities PCAW Materials & How To Order Home Registration Form SARIS Spoke Out to Prevent Child Abuse Sunday, May 21, 2006 Start Time 1:00 pm - Ending at 4:00 pm You may print out the completed form (before submitting) as your copy. First Name: Last Name: Address: City:    State:   Zip Code:  Daytime Phone:   Email: Please select one: 18 years or older  Under 18 years old T-Shirt Size:   Child Large     Adult Medium     Adult Large     Adult X-Large I will be: Biking  Hiking How did you hear about this event? Member of team?: Yes  No If yes, Captain Name: I accept this waiver You must accept to register. I hereby waive all claims against Prevent Child Abuse Wisconsin, any sponsor, or any personnel for any injury I might suffer in this event. I attest that I am physically fit and prepared for this event. I grant full permission for organizers to use photos of me in accounts and promotions of this event. I understand that helmets and protective gear are required to be worn. Prevent Child Abuse Wisconsin | 211 S. Paterson St., Suite 250 | Madison, WI 53703 phone 608-256-3374 | fax 608-256-3378 | 1-800-CHILDREN pcaw@cssw.org         Disclaimer