Caribbean Breast Cancer Foundation; 2023 Walk Registration Use this form to register yourself, create a new walk group or join an existing group as CBCF gets ready for the 2023 breast cancer walk for a cure. Fields marked with * are required. Registration Options*Register IndividualRegister A New TeamJoin A Team Name*FirstLast Email* Phone* Street Address* Apt/Suite City* State*SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahUSVIVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code*Walk Details Are you are breast cancer survivor?*YesNo (I just want to support the cause)I'd Rather Not Say Year diagnosed * T-Shirt Size*SmallMediumLargeXLarge2XLarge3XLarge My T-Shirt*SmallMediumLargeXLarge2XLarge3XLarge Team Lead T-Shirt*SmallMediumLargeXLarge2XLarge3XLargeRegister a new walk teamRegister 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. Team Name* Team Type*Family and FriendsMedical GroupNon-Profit OrgCompany/BusinessStudent GroupChurch Group Number of Teammates (Including yourself)*1 Teammate2 Teammates3 Teammates4 Teammates5 Teammates6 Teammates7 Teammates8 Teammates9 Teammates10 Teammates11 Teammates12 Teammates13 Teammates14 Teammates15 Teammates16 Teammates17 Teammates18 Teammates19 Teammates20 Teammates Enter your teammates' t-shirt size & email address. Use one line for each teammate.*Join An Existing TeamFields marked with an * are requiredIf you would like to join an existing walk team, please fill in your details in this Form. Registration must be completed at least seven (7) days prior to the walk. Select the team you want to join*Select TeamTeam Lu LuLL811AngelsBoosum BuddiesCaribbean Sapphires Family & FriendsJacksonJamaican SteppersJamrunLamb Angels Car ClubNC-NAACPSphere of InfluenceWalking for LilaWC811Worriors Team GwenAngels For RealGEMOUpfull MoveThe Jolly Jigglers Terms & Conditions for CBCF Walk are as follows: By clicking the "I Agree" checkbox you agree to 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 2023. 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. *I AgreeNo TotalRegister My TeamReset Register IndividualRegister Individual Total: $35Complete RegistrationReset JoinTotalJoin TeamReset