A Fundraiser Benefiting the Center for Well-Being's Youth Programs

You and your family are invited to the FREE Heroes for Health Family Fun Run & Health Expo, a fundraiser for the Center for Well-Being's youth programs. Super hero costumes are encouraged! Students in the iDo26.2 Program: Bring your family and earn 5 bonus miles!

 Saturday, April 14th, 2018
9am - 12pm
 Juilliard Park, 227 Santa Rosa Ave, Santa Rosa
Visit our website for more information.
To make a donation to support the Center's youth programs, click here.

* 1. How did you hear about the event?

* 2. Do you have a child or children who participate in the iDo26.2 Program?

* 3. What school does your child or children attend?

* 9. Please provide an email so we can send you the event details.

* 10. Liability Waiver
In consideration of the acceptance of entry, I, for myself, my heirs, executors, and administrators,
assume the risk of participating in the Heroes for Health, a walk/run event. I waive and release any and all rights and claims for damages I have or may have against the organizers of this event, its principals, its employees, all sponsors and their representatives and any and all claims of damages, demands, actions whatsoever in any manner, as a result of my participation in the Heroes for Health event, including travel to and from this event.
It is expressly agreed that all participants are walking/running at his or her sole risk, and that the Northern California Center for Well-Being, any other affiliated organization, its officers, agents and employees shall not be liable for any injuries to the person or damage to the person’s property. The Center for Well-Being assumes no liability for damage or injuries incurred while participating in the Heroes for Health event that are due to accident, carelessness, or Center for Well-Being staff negligence. The Center for Well-Being is not responsible for theft, or damage to, any participant’s belongings. The guardian or parent of a participant who is under 18 years old understands that by signing this waiver, he or she is assuming the risk of injury to the under 18 year old participant. I attest and verify that I am physically fit and have sufficiently trained for the completion of the
event and I have not been advised otherwise by a qualified medical person. Further, I hereby
grant full permission to any and all of the foregoing to use my name and likeness in any
broadcast, telecast, video or print media for the event without compensation to me.
I have read and understand the liability waiver for the Heroes for Health event.

  Yes  No 
I have read the Heroes for Health Liability Waiver and agree to all terms and conditions
I am the parent or guardian of an event participant under the age of 18 and agree to the liability waiver terms and conditions.