30 FOR FREEDOM

2021 REGISTRATION

 Go back to the 30FF homepage

PERSONAL INFORMATION

FUNDRAISING INFORMATION

After you are done registering, we will send you an email with instructions on how to set-up your 30 For Freedom fundraising page on Venture Miles. When creating your page, you will officially set your fundraising goal and tell the world why you are going the distance for those in need.

PARTICIPANT AGREEMENT

I understand that there are risks and dangers inherent in participating in the activities of Venture, its partners, sponsors and beneficiaries. I acknowledge that such risks and dangers include, but are not limited to death, illness, serious bodily injury, and property loss. I also understand that in consideration for being permitted to participate in a Venture event, I hereby take the following actions for myself as well as for my heirs, assigns, next of kin, successors, executors, administrators, and legal representatives: I herby release Venture, its sponsors, its partners and beneficiaries, its leaders, its employees, and volunteer staff from liability whatsoever arising out of injury, sickness, or damage, which may be sustained by me during the course of activities sponsored by Venture, partners and beneficiaries.

I do further give my consent for the director or properly appointed leader of Venture, its partners and beneficiaries to secure the administration of medical treatment or medication for myself in case of an emergency. I do further agree to the performance of treatment, anesthetics, and operations deemed necessary for me in the opinion of the attending physician.

I understand that my insurance coverage will be used as a primary coverage in the event medical intervention is needed. I hereby indemnify and hold harmless Venture, its sponsors, its partners and beneficiaries from any and all liabilities or claims made by other individuals or entities as a result of any of my actions during a Venture event, including any litigation, expenses, attorney's fees, loss, liability, damage or cost which may occur as a result of any such claims.

I understand that while I participate in any activities organized, administered or sponsored by Venture, its partners and beneficiaries, I am responsible to abide by the rules set forth by the sponsoring organization, its leaders, and supervisory personnel. Any serious infraction of the rules and/or conduct by myself can result in dismissal from the event. I, the undersigned, agree to assume the cost of such actions. I also agree to forfeit any possible refund.

I understand that Venture, its partners and beneficiaries are non-profit organizations and contributions are tax-deductible with the exception of cash. Venture, its partners and beneficiaries have complete discretion and control over the use of all donated funds. All donations and payments are non-refundable and non-transferable.

I, the undersigned, hereby consent to the use of any video recordings, photographs, slides, audio recordings, or any other visual or audio reproduction in which I may appear by Venture, its partners and beneficiaries. I understand that these materials may be used for promotion of Venture, its partners and beneficiaries, which includes fundraising efforts.

I release Venture, its partners and beneficiaries from any liability connected with the use of my picture or voice recordings as part of any promotional or fundraising program.

The information that I have given during registration to Venture, its partners and beneficiaries is accurate and true to the best of my knowledge. I certify that I am at least 18 years of age. If not, my parents are in full knowledge of my participation. I have carefully read this Waiver and Release of Liability and fully understand its contents. I am aware that this is a waiver and release of liability and I sign of my own free will.

Reg Fox by Webconnex
Secure Online Registration Powered by RegFox