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Blesie Tree Registration Form

Please submit your payment, then complete the form below, using a separate form for each participant. Once you submit the form, you’ll receive a link to additional forms if you need them.

Step 1 – Submit Payment

All fees go to support the Blesie Tree Foundation:

  • $20 for adults
  • $10 for children age 12 and under

PayPal will open in a new window. Return to this page to complete the form.

Step 2 – Submit Form


Your name*

Mailing address*

Email address*


Walk T-shirt*
S (youth)M (youth)L (youth)S (adult)M (adult)L (adult)XL (adult)XXL (adult)XXXL (adult)

Who else will you be registering for the walk? NOTE: We'll still need a separate registration form for each person.

Event Release

In consideration of my acceptance of this event entry, for myself, my heirs, executors, administrators and assigns, I forever release and discharge any and all rights, demands, claims for damages and causes of suit or action, known or unknown, that I may have against the Blesie Tree Walk and all participating sponsors, city of Cedar Rapids, and the directors, officers, employees and agents of such parties for all and any injuries resulting from my participation in the said event, that I assume those expenses in the event of accident, illness or other incapacity regardless of whether I authorize such expenses and that I am physically fit and sufficiently trained to participate in this event. I release the rights to any and all photographic materials and computer information the event committee may choose to release regarding this event without obligation to me. By providing my email address, I am giving the center permission to send me updates on The Blesie Tree information and upcoming events at The Ghosh Center. My e-mail will not be shared with outside sources.

I agree to the terms of the event release.

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