Fe for A Cure Volunteer Registration Form 2024

Name:

Street Address:

City:

State:

Zip code:

E-mail:

Phone Number:

T-shirt Size:

Volunteer Position:

Road Guard Position - 90 Positions Available (Sept 21: 7:30-9:30a.m.) / Registration/Set-Up: - 20 Positions Available (Sept 21: 6:00-8:00a.m.)

Signature:

(Full Legal Name)

Parent’s Signature if under 18 years:

(Parent’s Full Legal Name)

Date:

Volunteer Waiver Statement

I assume all risks associated with volunteering in this event, including but not limited to: falls, physical contact with other participants, volunteers, race personnel, contract service providers, employees, and spectators including the potential the contraction of a communicable disease resulting from contact with other participants, volunteers, race personnel, contract service providers, employees, and spectators. I assume all risks including: the effects of the weather; high heat and/or humidity; freezing cold temperatures; traffic and the conditions of the road including surrounding terrain. Having read this waiver and knowing these facts and inconsideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release the Salina Regional Health Center, City of Salina, all event sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event, even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I grant permission to all of the foregoing to use my photographs, motion pictures, recordings or any other record of this event for any legitimate purposes.