Online Registration

Team & Participant Registration Form

* indicates required

What is your experience with cancer?
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T-Shirt

To earn an event t-shirt, each individual must raise a minimum of $100 by August 1st. Donations can be collected and submitted to your team captain or online using the Donate button.


Sponsor

Contact me about being an event sponsor?
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Surviver Dinner

The following should be filled out ONLY if you’re a Survivor.

Will you be attending the Survivor dinner?
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If yes, will you be planning on bringing a guest?
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Release of Liability and Photography/Videography

In consideration for being allowed to participate in this event, I release from liability and waive my right to sue Hope Walk of Yates County and YCRR, their employees, officers, volunteers and agents (collectively “HWYC”) from any and all claims, including claims of the HWYC’s negligence, resulting in any physical injury, illness (including death) or economic loss I may suffer or which may result from my participation in this event, travel to and from the event (including air travel) or any events incidental to this event”. Additionally, I agree that HWYC may use photographs or video of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.

I have read, and agree to, the terms above. *
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Hope Walk Of Yates County

Download a Team Registration Form

 Team Registration Form

Thank You Sponsors!