Geneva's Colour Cruise Race for the Stars!

Please fill out the form to RSVP your Clients

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Welcome to Geneva's Colour Cruise 2020

Join us for an all-inclusive fun run, walk or wheel around the racetrack at ASB Showgrounds. There will be a talent show, an afternoon tea and entertainment. It's going to be a day to remember!

When? Friday 5th of June, 2 pm - 5 pm
Where? ASB Showgrounds, Pavilion 1, 217 Greenlane West, Epsom, Auckland
RSVP DATE? Wednesday 13th of April

ENTRY IS FREE TO ALL GENEVA CLIENTS, RESIDENTS & THEIR NOMINATED SUPPORT WORKERS ON THE DAY.

Need to RSVP for more than one Client? Go ahead and fill out this form, click "Submit" and then start a new one for your next Client.

If you have questions or need assistance please email marketing@genevahealth.com or call Hannah on 0800 436 382 ext 9604.

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* 1. Will your Client be attending Colour Cruise 2020?

Yes

No (If you select this option there is no need to complete this form)

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* 2. Please provide the Client's details:

First name:

Last name:

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* 3. Who provides care for this Client?

Community Living

Geneva Elevator

Both

Other (please specify)

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* 4. Please confirm the Client's place of residence from the options below:

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* 5. Does this Client require a CARER during the race?

Yes

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* 6. Please fill out the CARER'S details:

CARER's first name:

CARER's last name:

NO CARER is required

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* 7. Does this client have a POWER wheelchair?

Yes

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* 8. Please indicate the race length that best matches their abilities:

The Lite Cruise - Shorter race for those with non-powered wheelchairs

The Power Cruise - Longer race for Client's with a powered-wheelchair, or if they are an experienced runner

NOT RACING - only attending for the event festivities

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* 9. Please indicate if the Client gives permission to have their photos/videos published publicly

Yes, this Client agrees to have photos/videos published publicly

No, this Client does NOT agree to have photos/videos published publicly

Other (please specify)

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* 10. Please tick the box below if YOU confirm that this Client is fit and healthy enough to safely complete the race they have chosen

Yes. I, the House Manager/Team Leader, confirm this Client is fit and healthy enough to safely complete the race

No. I, the House Manager/Team Leader, confirm this Client is NOT fit and healthy enough to safely complete the race

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* 11. PLEASE CLICK THE LINK BELOW TO READ AND AGREE TO THE WAIVER.

CLICK HERE

PLEASE READ THIS ENTIRE ACKNOWLEDGEMENT, WAIVER AND RELEASE LIABILITY FORM CAREFULLY BEFORE CONTINUING WITH YOUR ENTRY AND/OR SIGNING.

Yes - The Client understands and agrees to the statements in this waiver

No - This Client does not agree to the statements in this waiver

Thank you for RSVP! Please click "Done" when you are ready:

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* 1. Will your Client be attending Colour Cruise 2020?

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* 2. Please provide the Client's details:

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* 3. Who provides care for this Client?

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* 4. Please confirm the Client's place of residence from the options below:

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* 5. Does this Client require a CARER during the race?

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* 6. Please fill out the CARER'S details:

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* 7. Does this client have a POWER wheelchair?

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* 8. Please indicate the race length that best matches their abilities:

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* 9. Please indicate if the Client gives permission to have their photos/videos published publicly

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* 10. Please tick the box below if YOU confirm that this Client is fit and healthy enough to safely complete the race they have chosen

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* 11. PLEASE CLICK THE LINK BELOW TO READ AND AGREE TO THE WAIVER.CLICK HERE PLEASE READ THIS ENTIRE ACKNOWLEDGEMENT, WAIVER AND RELEASE LIABILITY FORM CAREFULLY BEFORE CONTINUING WITH YOUR ENTRY AND/OR SIGNING.

* 11. PLEASE CLICK THE LINK BELOW TO READ AND AGREE TO THE WAIVER.

CLICK HERE

PLEASE READ THIS ENTIRE ACKNOWLEDGEMENT, WAIVER AND RELEASE LIABILITY FORM CAREFULLY BEFORE CONTINUING WITH YOUR ENTRY AND/OR SIGNING.