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Hungry4Change Fast Registration

Participate in Oxfam's H4C Fast

Name of Participant

E-Mail Address

Address of Participant

Phone number of participant

Age of participant (Participants under 18 must have parental consent)

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Parent's Name, Email and Phone Number

Fundraising Goal

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Disclaimer and Release Form

By electronically submitting this form, I acknowledge having read, understood and agreed to the below waiver, release and indemnity. I warrant that I am physically fit to participate in Oxfam Canada's hungry4change Fast.

Oxfam Canada will not be held responsible for any loss, injury or damages caused by participating in Oxfam Canada's hungry4change Fast.

I understand that there are risks associated with participating in Oxfam Canada's hungry4change Fast.

I waive for myself, my heirs, executors, administrators and assigns, any recourse I may have against Oxfam Canada and its directors, officers, volunteers, organizers, employees, sponsors, successors, assigns and agents.

I voluntarily assume all risks associated in any way with participating in Oxfam Canada's hungry4change Fast

I discharge such persons from all claims, demands, damages, actions or causes of action whatsoever and absolve such persons from all responsibility for any injuries that may arise in any way in connection with Oxfam Canada's hungry4change Fast.

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