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ST. BENEDICT SCHOOL
student registration
Please fill out the form below to register for this campaign
student
's first name
*
student
's first name
*
student
's last name
*
student
's last name
*
Email
*
Email *
Phone
*
Phone *
Class
Class
Select your size
*
Select your size *
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Release and Indemnity Agreement: I agree, for myself, my family, and our heirs, executors and administrators, to not sue and to release, indemnify and hold harmless School-A-ThonTM, its affiliates, officers, directors, volunteers and employees and all sponsoring businesses and organizations and their agents and employees, from any and all liability, claims, demands, and causes of action whatsoever, arising out of my or my Family’s participation in any School-A-ThonTM or Color-A-ThonTM sponsored or affiliated school Events and related activities, including but not limited to on-line activities, whether it results from the negligence of any of the above or from any other cause. This agreement shall be as broad and inclusive as is permitted by the State in which the event is conducted. If any portion of it is held invalid, the balance shall continue in full force and effect. I have read, understand and agree to the terms of this Release and Indemnity Agreement. Media Release: I authorize the use, copyright, or publication of my or my family’s name, image or voice while participating in any Event and related activities, as may be captured by photograph or recording in any medium for any purpose, including illustration, promotion or advertisement. If not of legal age, I (the parent/guardian) hereby consent to my family’s participation in Events and related activities. I have read and explained this form to my family, and I hereby agree to all of its terms and conditions on behalf of myself and my family.
Additional student spaces can be created in your
Account
or
Profile
settings, with the same email address, once you have registered.
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