Thank you for being part of this year’s Challenge! Our goal is to make signing up fast and easy for a parent/guardian who also wishes to register his or her underage child(ren).
This family friendly form enables multiple registrations (one adult and multiple underage child(ren) who share the same home/mailing address), with one credit card transaction. Please be sure to complete the form and select all the applicable options for each family member. We hope you will invite other adults in your circle of family and friends to join the fun by signing up as a single registrant.
When you finish this family form and hit submit, you will be sent an email confirming the transaction. You will receive a second email (within 1-3 days) with a link to your personal center. This will include the standard instructions for how you can change your user/name and password, and personalize your Challenge webpage with and your own photos/ and stories and email others to support your fundraising goal.
Thank you again for helping us fight cancer in Maine.
Champion the Cure Challenge Waiver
I intend by the Waiver, Assumption of Risk and Indemnifying Release Agreement to release in advance, and to waive my rights and to discharge all releasees (as defined above), from any and all claims, losses or liabilities for death, bodily injury or damages including, but not limited to, property, or consequential punitive damages, whatsoever of every name, inclusive of attorney's fees and costs that I may have, or which may hereafter accrue to me, as a result of my participation in the event, EVEN THOUGH THAT LIABILITY MAY ARISE FROM NEGLIGENCE OR CARELESSNESS ON THE PART OF ANY OR ALL OF THE RELEASEES, from dangerous or defective property or equipment owned, maintained or controlled by them or because of their possible liability without fault. I understand and agree that this Waiver, Assumption of Risk and Indemnifying Release Agreement is binding on my heirs, assigns and legal representatives.
I am physically capable of completing the event. If I am aware of or under treatment for any physical infirmity, ailment or illness, my medical care provider knows of and has approved my participation in the event. I will maintain personal health insurance while participating in the event. I acknowledge that I, and I alone, am solely responsible for my personal health and safety, and the personal property I bring with me. I will abide by all rules and regulations established by the event organizers and personnel. I consent to treatment in the event of an emergency or other incident in which, in the reasonable judgment of the on-site personnel, I require medical care.
I understand that my name, photograph, voice or likeness may be used for all promotional purposes related to the event by Northern Light Eastern Maine Medical Center, Northern Light Eastern Maine Medical Center Foundation, Northern Light Health, Northern Light Health Foundation and their sponsors, beneficiaries, licensees, affiliates and employees. I consent to and authorize, in advance, such use and waive all rights of privacy I have in connection therewith. And I understand that I will not benefit financially from any use thereof.
I have carefully read this Waiver, Assumption of Risk and Indemnifying Release Agreement and fully understand its contents. I am aware that by signing this waiver I am agreeing to its terms, including waiving legal rights. Knowing this, I agree to these terms of my own free will.
On behalf of the minor participant, I hereby irrevocably and unconditionally agree to all of the terms of Waiver, Assumption of Risk and Indemnifying Release Agreement. I also, for myself and on behalf of my heirs, estate, insurers, successors and assigns, hereby release, indemnify, promise not to sue, and hold harmless all releasees (defined above), with respect to any and all claims or causes of action brought or asserted by or on behalf of the minor I may have for damages for personal or bodily injury, disability, death, loss or damages including, but not limited to, property, or consequential punitive damages, whatsoever of every name, inclusive of attorney's fees and costs, WHETHER ARISING FROM THE NEGLIGENCE OF ANY OR ALL OF THE RELEASEES OR OTHERWISE, WHETHER OR NOT NEGLIGENCE HAS BEEN PROVEN, to the fullest extent permitted by law.
I acknowledge that I have carefully read and understand this Voluntary Activities Participation Waiver and Release of Liability and that I agree to its terms and conditions.
THIS AGREEMENT RELEASES LIABILITY FOR NEGLIGENCE! DO NOT COMPLETE THE FORM BELOW WITHOUT READING!
Please select one Adult Registration Type for yourself, as well as the Youth or Child Registration Type(s) for your family member(s).