NUIG Relay For Life 2018 Registration Form

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Date: Thursday, March 15th 2018
Time: 6pm - 6am
Venue: Kingfisher
Fee: €10 per person

Name *

Team Name *

Team Captain's Name *

Mobile Number *

Email *

Are you a cancer survivor? *

Yes

T-shirt size *

I am a RFL subcommittee member

Registration fee paid? (€10) *

Yes

Fee information

The €10 can be paid at the SocsBox, at our Smokies table every Thursday or on the night of the event upon sign-in.

Any medical conditions? (please list) *

Any food allergies? (please list) *

Emergency Contact Name *

Emergency Contact Number *

Remember:

We want you to enjoy your fundraising activities and stay safe! The Irish Cancer Society can accept no liability for any loss, damage or injury caused during the event you undertake. The Society’s insurance does not cover property or the property of your helpers and guests, nor does it cover your personal liability for any injury suffered by yourself or your event participants. Please seek independent insurance advice prior to organising your event. Remember to use common sense when it comes to health and safety. Where food is involved, please take care and work to ensure safe preparation, storage and cooking. Please follow good hygiene practices.

Disclaimer:

The Fundraiser agrees to release the Irish Cancer Society to the fullest extent permissible under law for claims and demands of any kind, and from all liability that may arise in respect of any damage, loss or injury occurring to any person, except where such liability arises because of the negligence of the Irish Cancer Society or its agents. The Irish Cancer Society reserves the right to terminate the agreement relating to an event at any time if it appears that there is a likelihood of the Fundraiser failing to adhere to any of the above terms and conditions. Fundraising activities and events organized by the RFL teams in advance of the RFL event are not covered by insurance. Teams must seek their own insurance advice. Third party suppliers and vendors at your event are not covered by the RFL Insurance Policy. They must provide copies of their own insurance.

Agreement and Signature:· Yes, I have read the “Relay For Life Teams Terms & Conditions” and I agree to hold my fundraising event in accordance with them and all applicable laws. Yes, I agree to lodge all revenue from the event with the Relay For Life Event committee or with the Irish Cancer Society within 30 days of the event, where applicable. *

Yes

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