48 Hours for Our Heroes

48 Hours for Our Heroes May 22-24, 2026

Gracie Barra, 1025 Edwards Ferry Rd. Leesburg, VA
Name

First NameLast Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Registration Type
Company/Orgaization
Title
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth

MonthDayYear
Date
Gender

Legal Guardian Information for Participants under 18
Name of Parent / Legal Guardian

First NameLast Name
Email of Parent / Legal Guardian
example@example.com
Phone Number of Parent / Legal Guardian
Please enter a valid phone number.Format: (000) 000-0000.
Address of Parent / Legal Guardian

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Liability Waiver
I agree that my electronic signature is the legal equivalent of my manual signature on the above "Liability Waiver" document. I further agree that my digital signature below is as valid as if I signed the document in writing.
By executing this document, I hereby acknowledge and agree to the terms and conditions of this “Liability Waiver” on my own behalf, on behalf of each member of my household listed herein with their express consent, and, in my capacity as the parent or legal guardian of any minor(s) identified under “Household Members,” on their behalf. I further represent and warrant that I possess the full legal authority to so bind each such individual to the terms and conditions set forth herein.
Signature
Emergency Contact Information
Emergency Contact

First NameLast Name
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to the Participant

USDDonation

48 Hours for Our Heroes May 22-24, 2026