Honoring the Future
by Preserving Our Past
  • Home
  • HACCM WALK-A-THON

HACCM WALK-A-THON – SATURDAY, AUGUST 21, 2021

WALK-A-THON STARTS AT 8:00 a.m. FROM 3131 N.E. GLISAN ST. PORTLAND, OR

Participant Walk-a-Thon Registration

Name(Required)
Address(Required)
ASSUMPTION OF RISK, RELEASE AND PERMISSION:
Walk to support Hellenic-American Cultural Center & Museum (HACCM) involves walking - an activity which may include risks such as, but not limited to, falls, interaction with other participants, effects of weather, traffic and conditions of the road. In consideration of being allowed to participate in this event, I hereby expressly assume all risks, including bodily and personal injury, death, property loss or other damages of any kind arising in any way out of my attendance or participation in the HACCM and the City of Portland its officers, agents and employees and related activities.
It is my responsibility to dress appropriately. Although route maps, rest stops, refreshments, and other assistance may be made available during this event, I am solely responsible for my own health and safety. I represent that I am physically fit and able to attend or participate in this event.
I hereby for myself, my heirs, executors and administrators, release, discharge and agree not to sue HACCM, their respective officers, directors, volunteers, employees, sponsors and agents, from any and all liability, claims, demands and causes of action whatsoever, arising out of my participation in or attendance at this event and related activities whether resulting from the negligence of any of the above or from any other cause.
I agree that my assumption of risk and release hereunder shall be as broad and inclusive as is permitted under applicable law. If any portion of this agreement is held invalid, the remainder shall continue in full force and effect.
I grant full permission in perpetuity to the organizers of this event to use, re-use, publish and re-publish my name and image as a participant in the event in photographs, video or other recordings.
HACCM is committed to providing an environment free from harassment and discrimination. HACCM strictly prohibits harassment and discrimination based on race; creed; color; religion; gender; sex; sexual orientation; national origin; ancestry; age; veteran status; citizenship status; marital status; physical or mental disabilities; pregnancy, gender identity or expression (including transgender status); and genetic information and any other characteristic protected by federal, state or local law.
I have read, understand and agree to the terms of this agreement. If Participant is a minor, the parent or guardian must agree to the below: I am the legal guardian of Participant, and I hereby consent to his/her participation. I have read the foregoing agreement, and I hereby agree on behalf of myself and Participant to its terms.
Consent(Required)
Consent
Legal guardian’s name
MM slash DD slash YYYY
Emergency Contact(Required)
Price: $25.00
Credit Card