St. Baldrick's Foundation - Get Involved - Share Your Child's Cancer Story

No account yet? No problem! Let's create your log-in information now.

Login Information

Username:

Password:

Contact Information

Title	First Name	M.I.	Last Name	Suffix

Address Type:

Home
Business

Business Name:

Job Title:

Country:

Address (Line #1):

Address (Line #2):

Address (Line #3):

City:

State:

ZIP Code:

Primary Phone Number:

- - ext

Secondary Phone Number:

- - ext

Province/Territory:

Postal Code:

Primary Phone Number:

- - ext

Secondary Phone Number:

- - ext

Region:

Postal Code:

Primary Phone Number:

011- - ext

Secondary Phone Number:

011- - ext

The St. Baldrick's Foundation relies on volunteers to raise funds and does not solicit donations directly by mail or email. News is shared most cost effectively by email, but only with your permission, and we make it easy for you to opt out at any time.

The St. Baldrick's Foundation does not sell or exchange email lists with anyone. (See our privacy policy.)

Primary Email Address:

Secondary Email Address:

	I want to stay up-to-date about what's happening at St. Baldrick's; please send me news by email!
	Email me only about the St. Baldrick's event in which I am participating, nothing more.
	I do not have an email address.

Please read the registrant waiver information and click to accept below. If you are registering on behalf of someone else, indicate so.

I/We understand that the name St. Baldrick's, the logo and leprechaun icon are registered trademarks of the St. Baldrick's Foundation and use of said properties in any printed materials or advertising require the written approval of the St. Baldrick's Foundation.

AGREEMENT ON CONDUCT

I understand that in participating in an event, I am responsible for conducting myself reasonably and with due regard for others. I understand that my commitment of time and funds to the foundation does not in any way grant me authority to act on behalf of SBF, and understand that I/we cannot sign contracts or make other agreements on SBF's behalf, including but not limited to agreements with other charities and/or fundraisers, even with respect to my/our event. I/we understand that we have a duty to cooperate with SBF in all regards.

I further agree that I will review and abide by SBF procedures regarding the proper handling of financial donations and assist SBF in clarifying and recognizing any and all donations collected by me/us as (a) representative(s) and volunteer(s) for SBF, as spelled out on the 2007-2008 website. I also agree that I will not allow or participate in the use of a razor to shave my head, my child's head, or the head of anyone else at the event.

HOLD HARMLESS, WAIVER, AGREEMENT ON CONDUCT, AND ASSUMPTION OF RISK:

I, an individual, have freely and voluntarily chosen to participate in this head-shaving event. I understand that there are certain risks associated with attending a head-shaving event and participation is not without risk to myself, employees, members of my family, or guests who may attend. I understand such risks include, but are not limited to, personal injury, property damage or loss, and death.

In consideration of and as inducement to SBF's acceptance of my, my company's, or my child's entry form for this head-shaving event, I/we expressly hereby assume any and all risks of such damage or injury while attending this head-shaving, or any other function, of SBF or the surrounding area thereto, and I hereby release and agree to indemnify, defend and hold harmless SBF, and all its related entities, its employees, directors, officers, members, volunteers, beneficiaries and agents from any and all liability of any nature, causes of action, debts, claims, and demands of every kind and nature whatsoever for injury or damage, which I or any member of my family or any other person accompanying me to this event may incur, or for which I may be liable, and which arises or is alleged to arise in connection with my or their participation, in a SBF event, whether occurring on the event grounds or the surrounding area thereto, or traveling to or from such grounds or surrounding area. This release includes, but is not limited to, any claim for personal injury, personal bodily injury or damage, property damage, or wrongful death whether the same shall arise by negligence, active or passive, or otherwise while I/we engage in this event.

I have read and understand this Agreement, and am aware of the legal consequences of signing this Agreement, which I agree is governed by the law and jurisdiction of the State of New Jersey, United States of America, regardless of where I live or where the Agreement is signed. I understand and agree that I/we may not participate or continue to participate in the head-shaving event unless I/we have read and signed this Agreement, and that my execution of this Agreement binds both me and any corporation of which I am principal.

PUBLICITY CONSENT AND RELEASE

I/We hereby irrevocably grant the St. Baldrick's Foundation ("SBF"), permission to use my/our name(s), biographical or occupational description, and business and personal information and/or artwork supplied by me/us to SBF - portrait, picture, artwork, film footage, likeness, voice, or any or all of them - in a greeting card, recording, print ad, motion picture film, television production or reproduction, direct mail piece, newsletter, website article, website event, event donation page, press release, sound track recording film strip, still photograph, or otherwise, for purposes of furthering the charitable aims of SBF.

Furthermore, I/we hereby grant to SBF, its clients, successors, assigns and/or anyone acting under the authority or permission of any of them, the right to make originals where appropriate and to use in advertising and publicity, in any and all publications and other media without limitation or reservation for any lawful purpose; and reproduce in any form or manner and to copyright any of the items referred to in the preceding paragraph in connection with such charitable aims.

I/we hereby release whatever rights, title or property interest I may have in the items supplied by me to SBF as it pertains to me/us/our business. I understand that I shall receive no compensation for my or our business' appearance in promotional materials or activities. I/we hereby agree to hold SBF harmless and to indemnify SBF and its contractors, agents and employees, and/or anyone acting under the authority or permission of SBF, from any and all claims arising out of, or resulting from, my/our acts or statements in any of the above-mentioned items.

	I accept the conditions of this waiver.
	I cannot accept the conditions of this waiver becuase I am not the registrant - I'm registering a friend, family member, fellow participant, etc.

Your Child's Story

Login Information

Login Information

Contact Information

More About You

More About You: Student Information

More About You: Educator Information

More About You: Military Personnel Information

More About You: Reinsurance/Insurance Industry Information

More About You: Other Occupation Information

Waiver Information

Top Supporters