Events Step 1 of 2 50% Patient's NameEmail PhoneTotal Number of Immediate Family Members Attending (Including Patient) Enter Names of Family Members Attending Below Including PatientNameRelationship to PatientAge of Children (Click + to add more) WE understand that these activities and the facilities where they are conducted involve inherent risks. Nevertheless, WE want any listed persons to have the opportunity to participate in them, and WE are executing this Activity Release in exchange for that opportunity.*Acknowledged and AgreeWaiver, Release, and Indemnification – WE, individually, and in our capacity as parent(s), guardian (s), waive, release, indemnify, and promise not to sue Children’s Cancer Fund of New Mexico, its employees, officers, directors, and volunteers (collectively, “Released Parties”) from all demands, claims, or liability, in law or in equity, including the Released Parties' own negligence, that have arisen or may arise from the designated trip and any related travel or activities, and that involve any damage, loss, or injury to our family, any listed children, my property, my spouse's property, or the property of any listed children. BY SIGINING BELOW, We fully assume the risks associated with participating in the activity.*Acknowledged and AgreeChildren MUST be accompanied/supervised by an adult or guardian for the duration of the event.*Acknowledged and Agree This iframe contains the logic required to handle AJAX powered Gravity Forms. Learn how you can get involved today.Make A DonationContact Us
