2008 BUTTERFLY WALK FOR CANCERFREE KIDS
REGISTRATION AND EVENT WAIVER
 
I understand that participating in this event is potentially hazardous, and that I should not enter and participate unless I am medically able and properly trained. In consideration of the acceptance of this entry, I assume full and complete responsibility for any injury or accident which may occur while I am traveling to or from the event, during the event, or while I am on the premises of the event. I also am aware of and assume all risks associated with participating in this event, including but not limited to falls, contact with other participants, effect of weather, traffic, and conditions of the road. I, for myself and my heirs and executors, hereby waive, release and forever discharge the event organizers, sponsors, promoters, Active.com and each of their agents, representatives, successors and assigns, and all other persons associated with the event, for my all liabilities, claims, actions, or damages that I may have against them arising out of or in any way connected with my participation in this event. I understand that this waiver includes any claims, whether caused by negligence, the action or inaction of any of the above parties, or otherwise.
I understand that the entry fee is non-refundable and non-transferable. I hereby grant full permission to any and all of the above parties to use any photographs, videotapes, motion pictures, website images, recordings or any other record of this event.
 
Category - Description (Age) Price   Available T-shirt sizes
Team Participants Non-Team Participants:      
        S - adult small
TM - Team Member (17+) $25 I - Individual (17+) $30   YS - youth 2-4 M - adult medium
YTM - Youth Team Member (3-16) $15 YI - Youth Individual (3-16) $15   YM - youth 6-8 L - adult large
CTM - Child (2 & under) Free CI- Child (2 & under) Free   YL - youth 10-12 XL - adult XL
        XXL - adult XXL
 
Print Name Signature M/F Birthdate T-shirt Size Category Cost
             
             
             
             
             
             
             
             
     
  Total Registration Due  
      Additional Donation  
Street Address   Total Payment  
 
     
City ST, Zip   Team Name      
      Team Captain    
Email Address  
    Make checks payable to CancerFree Kids
      mail to:   CancerFree Kids  
Daytime phone Evening phone     Attn:  Butterfly Walk
    P.O.  Box 575  
    Loveland, OH 45140