Volunteer

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Transition #04 Crew
   Saturday, July 13, 2013 (08:00 AM - 01:00 PM)

* Required fields

* First Name:
* Last Name:
* Address:
* City:
* State:
or * Province:
* Zip/Postal Code:
* Country:
* Gender Female Male
* Date of Birth:  
* Email :
* Home Phone:
Work Phone:
*T-shirt Size:
*Cell Phone Number:
*Have you worked the Mass Dash Relay before:
If you have worked the Mass Dash relay before; please include town and time if you remember.:
Is there anyone with whom you would like to volunteer? If so please list so we can coordinate assignments.:
*Email address:
Do you have a specific job or transition point in mind to volunteer for this year? If so, what/where?:
Comment
(eg: who you'd like to work with,
or, list second volunteer choice):
PLEASE READ AND AGREE TO WAIVER
Participant General Release and Agreement

I, the undersigned, am responsible for coverage of any injury or damage that occurs to me and/or my property as a result of my participation in the Mass Dash Relay occurring on July 16-17, 2011, (the Event), and I agree to assume all risk in connection with my participation in the Event. I attest that I am physically fit to volunteer for the Event. I understand that participation in the Event is entirely voluntary and the inherent dangers involved in my participation in the Event, if any, include, but are not limited to, the effects of weather and the conditions of the course, vehicular traffic, contact with other participants, injury, illness, and even death.

I hereby grant permission for photographs, videos, and other images (the Images) to be taken during the Event and assign all rights to the Images to Dana-Farber Cancer Institute, Inc. (DFCI) as applicable. I understand that the Images may be used by DFCI and/or its respective designees in connection with its advertising, promotional and marketing activities, and other purposes authorized by DFCI including, but not limited to, use in photographs, direct mail marketing, print advertising and on posters, billboard advertising and the internet; all without any compensation to me.

I hereby, for myself, my heirs, executors and assigns, waive, release and forever discharge DFCI and all respective affiliated persons and entities, officers, trustees, employees, sponsors, coordinating groups, volunteers, representatives and agents, and all others in any way associated with the Event (collectively, the Released Parties) from any and all liability or claims of whatever nature or description, in equity or at law, which I may have against the Released Parties relating to the Event. This Release shall take effect as a sealed instrument and shall be governed by the laws of the Commonwealth of Massachusetts.

I hereby attest that I have read, fully understand, and agree without exception to all the provisions, releases, and waivers outlined in this Participant General Release. I understand that this document is a legally binding document that limits the legal liability of the Released Parties. I attest, under penalty of fraud, that I am at least 18 years of age, and if I am signing for a minor, that I am the minor's parent or legal guardian.

**NOTE: A legal guardian must be appointed or approved by the court. For example, a camp counselor, or school chaperone is not a legal guardian for children under his or her supervision.

This Release must be signed prior to participation in the Event.
 

 
INFO FOR PARENT/GUARDIAN COMPLETING THIS REGISTRATION
Registration for minors must be completed by a Parent or Legal Guardian. If your age on race day is less than 18 years old, please fill in the Parent/Guardian Contact Information below. Providing such information and continuing this process indicates that this registration was completed by the person listed below.
Parent/Guardian Name:
Contact Phone:
Contact Relationship:
 
*Agree to waiver: I agree I do not agree