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Registration

Mailing address

Selections

Please enter your Facebook page if you have one:
Please enter your Twitter page if you have one:
Please enter your Instagram page if you have one:
Please enter your Google Plus page if you have one:
I am excited to raise funds for Easterseals Northeast Central Florida, and I have chosen to focus my fundraising efforts towards one of their many life-changing programs, which is important to me:
Enter name or other unique identifier where the unique fundraising page will be located.
https://daytonaovertheedge.org/

$0.00

I understand and agree that:

  • $1,000 is the minimum fundraising necessary to rappel. Once the minimum is met, I will have secured my rappel slot. If I do not meet my minimum fundraising goal, I will have the option to cover the remaining fundraising balance by cash, credit or check the day of the event to secure a rappel slot.
  • Upon completing this registration form, I will be emailed a link to the WAIVER FORM.
    Please fill out and sign the required Waiver
    EVERYONE Going Over The Edge must complete the waiver. Once you fill out and electronically sign the form, you will be sent an email confirmation link. Then the information is sent remotely to our system. It saves paper and your time so you’ll be ready to go as soon as you arrive!