August 15th Annual Far Eastside Community Peace Walk Flyer Registration Form:
2. Do you know someone who was injured by being shot?
3. Do you know someone who died from being shot?
RELEASE, WAIVER OF LIABILITY AND INDEMNIFICATION General Consent: By checking the radio button below, I hereby agree to release and hold harmless Pathway to the Future Learning Center, Inc. DBA Pathway Resource Center, Inc. and its affiliates. MEDIA RELEASE I grant to Pathway Resource Center, Inc. the exclusive right to use photograph/video or film likeness in media and promotional materials.

10119 John Marshall Drive Indianapolis, IN 46235

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(317) 890-9817

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