Register a new walk team Register a new team for Caribbean Breast Cancer Foundation, Inc annual walk. Registration must be completed at least seven (7) days prior to the walk date. When creating a new team you become the team captain and will be responsible for accepting the terms and paying all registration fees. Personal Information Your Name*FirstLast Your Email Address* Your Phone No.* What is your T-Shirt Size?*SmallMediumLargeXlarge2Xlarge3Xlarge Are you or someone you know a breast cancer survivor?*YesNoRather Not Say Year Diagnosed?*Team Details Give Your Team a Name* Team Type*Family and FriendsMedical GroupNon-Profit OrganizationBusinessStudent GroupChurch Group Number of Teammates*1 Teammate2 Teammates3 Teammates4 Teammates5 Teammates6 Teammates7 Teammates8 Teammates9 Teammates10 Teammates11 Teammates12 Teammates13 Teammates14 Teammates15 Teammates16 Teammates17 Teammates18 Teammates19 Teammates20 Teammates Teammate(s) T-shirt size & Email Address* Total Card number* Expiration date123456789101112Month / 20202021202220232024202520262027202820292030Year CVC* Name* Address line 1* City* State* Zip code* Terms & Conditions/Release*Terms & Conditions for CBCF Walk are as follows: By clicking the "I Agree" checkbox you agree and certify the following: 1. I certify that I'm at least 18 years older today. 2. I have read and understood the terms and conditions for registering and participating in CBCF breast cancer walk 2017. 3. I agree to waive any and all claims I may have for damages against the City of Missouri City, Texas and the Caribbean Breast Cancer Foundation (CBCF) Inc., it's partners, sponsors and all individuals associated with this event, I remain responsible for any and all medical conditions or injuries if any should occur during or anytime after the walk. 4. I agree to prepare for the event by ensuring that I am in good physical health, I'm responsible for ensuring I get clearance from my physician before participating. 5. I understand that completing this form & paying for this event constitutes a legally binding agreement between me and Caribbean Breast Cancer Foundation Inc. 6. Further, I am granting the Caribbean Breast Cancer Foundation permission to photograph and/or videotape my participation in this walk and use said photographs and videos and all other recordings for future marketing or promotional purposes, or to publish the event on the website(s) Caribbeanbreastcancer.org and cbcfevents.org as well as print and social media. 7. Should I suffer any medical emergency during the walk, and I am not able to offer my personal information to emergency personnel, I hereby grant Caribbean Breast Cancer Foundation's directors and or staff permission to release any information kept on file by CBCF that may assist in proper identification and treatment. Should transportation to a medical facility by emergency personnel be required for further treatment? I authorize CBCF to release the name of the medical facility to my family or emergency contact. I further promise not to hold CBCF responsible for any medical costs incurred as a result. 8. Finally, I confirm I have read and understood and accepted the terms laid out in this document governing Caribbean Breast Cancer Foundation's annual walk.Register TeamClear Form/Startover
