Register For
BF&M Breast Cancer Awareness Walk

All parishes, 00000

Registrant #1

Who are you registering? *


By selecting this box, you are indicating that you are the parent/guardian of the person you are about to register. Additionally, if the child is under the age of 13, you are consenting to the collection and use of the information about the child for the purpose of the registration as described in our privacy policy.

Have An Account?

Basic Info

To be able to access / edit your registration.

Additional Information

Format: mm/dd/yyyy
Used for age group calculations
Format: ###-###-####

Address

Choose Your Event(s) *

$30.00 Event Fee + $3.00 SignUp Fee

Would you like to join or create a Group/Team?


Waiver

I have read, understood and accept this waiver and release and/or on behalf of any other party on whose behalf I am registering. My submission of this form shall act as my legal signature and/or the legal signature for any other party on whose behalf I am registering.

I hereby represent and warrant that I have full legal authority and power to complete this event registration for myself and/or any other party on whose behalf I am registering. Furthermore, I represent and warrant that I have full legal authority to act on behalf of all registered parties and bind them under the terms and conditions set forth in this waiver and release.

I certify that I and/or any other party on whose behalf I am registering am/are eighteen (18) years of age or older. Or if registering a child under eighteen (18) years of age, I certify that I am the parent or legal guardian of such child in compliance with COPPA [Children's Online Privacy Protection Act]. If registering an incapacitated and/or mentally challenged person, I certify that I am the parent or legal guardian or receiver of such person.

I and/or any other party on whose behalf I am registering hereby waive and release RacedayWorld.com, race officials and other participants from claim for injuries or damages however sustained during this event. That my personal information is kept confidential and only used for the purpose of participation in BF&M Breast Cancer Awareness Walk and for communicating with me about other Bermuda Cancer and Health Centre (the “Centre”) events, support services, consumer surveys or program evaluations. As a BF&M Breast Cancer Awareness Walk participant/volunteer, I may have access to information or records pertaining to volunteers or donors. All such information must be kept secure and confidential and must not be used for any purpose other than to participate in the event.

My experience may be an inspiration to others. I give the Centre permission to photograph and videotape me in the course of my participation in the BF&M Breast Cancer Awareness Walk, and use my name, comments and any photographs and videotapes of me for Centre’s purposes in any media and territory unless I withdraw consent for this use.

I waive and release any and all claims for myself, my heirs, executors and administrator against the Centre, its agents, employees and licensees and any sponsors, officials an organizers of the BF&M Breast Cancer Awareness Walk event in connection with any injury, illness or death which may directly or indirectly result from my participation in this event.

I understand that Bermuda Cancer and Health Centre events are smoke free, and agree to abstain from smoking or using alcohol or drugs while participating in the BF&M Breast Cancer Awareness Walk.

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