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Hair Donor and/or Head Shaver Registration Form for 2018
Thank you so much for registering to be one of our wonderful hair donors and/or head shavers We look forward to seeing you on Sunday, April 15, 2018 at the Algonquin College Salon and Spa department.
Email address *
Your Name: *
Your answer
Address: *
Your answer
Phone Number: *
Your answer
Your Age: *
Your answer
If applicable, please let us know what grade you attend:
Name of School/Institute: (please put N/A if not applicable) *
Your answer
Please tell us if you are a:
I would like to donate my hair.
I will be attending the event on April 15, 2018. *
Waiver to Participate & Media Release *
Waiver Please accept the waiver. Hair Donor and Hair Stylist Consent 1. I understand and agree with the purpose of the hair-cutting event. I have freely chosen to do so on behalf of Hair Donation Ottawa, The Ottawa Hospital Foundation, CHEO Foundation, Algonquin College. 2. I understand the hair donation becomes property of Hair Donation Ottawa. 3. I agree to release and waive any and all liability and discharge the Ottawa Hospital Foundation, CHEO Foundation,Hair Donation Ottawa, Algonquin College and all agents and volunteers from any claims or demands that might arise in connection with any accident, illness, injury, or other consequence or event arising from my actions or participation in this Hair Donation Ottawa event. Hair Donation Ottawa Name and Photo Consent In consideration of the acceptance of my application to participate in the ‘Hair Donation Ottawa’ event on Sunday, April 15, 2018, I shall permit the free use of my name and picture in publicity resulting from the event.
Required
Hair Donation Ottawa Minimum Pledge/Donation Consent *
Hair Donation Ottawa has a minimum pledge or donation of $150 per participant age 18+, $75 per participant under 18, or $200 per family with 2+ children participating.
Hair Appointment Times
Please let us know what part of the day works for you, once you pick you will have an option to pick your actual time that suits your schedule
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