Bike MS

National MS Society, Gateway Area Chapter

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2014 Bike MS Volunteer Registration Form

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Question - Required - Date of Birth:




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Question - Required - Sex


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Question - Required - Please select the shifts you are available
Please make at least 1 selection from the choices below.

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Question - Required - Please mark the areas that you are interested in volunteering in:
Please make at least 1 selection from the choices below.

 

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Question - Not Required - If you would like to receive volunteer information for our other 2014 events, please select the event(s) below.

 

Waiver and Release from Liability

With Respect to events to be held with the National MS Society ("NMSS"), Gateway Area Chapter, for consideration of participation, I freely accept and voluntarily assume the risks of personal injury or property damage that may result from participating in this event. I further agree to waive and release from all claims and liabilities of any kind arising out of my participation and agree to hold harmless the NMSS, corporate sponsors, cooperating organizations, and all parties connected with the event from any liability as a result of my participation. I will permit emergency treatment in the event of injury or illness while participating and give permission to use my image and photo taken during the events in any promotional material, publication, or on the website. I do agree and accept full responsibility to obey the traffic and rules of safety for the event and understand that the NMSS withholds the right to dismiss anyone that may cause disturbance during this event or disregard the rules with respect to safety.

*By clicking submit, you certify that you have read and understand the intent of this waiver and release.*

   Please leave this field empty

     

 

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