Temporada Latina @ Ryles

Salsa Spirit

A Salsa-thon / Mambo-thon fundraiser

benefiting Shriners Hospital for Children

Thursday, November 20, 2008


Salsa Spirit

Register

Logistics

Pledge Form/Sample E-mail

Shriners Hospitals

Prizes



 

Temporada Latina Link

Register for Salsa Spirit :

1. Complete the following form.
2. Read the event waiver and release (printed below)
.
3. Submit the information.
4. Print out a pledge form and sample e-mail (tools to assist you to raise money for Shriners Hospital for Children).

Dancers Photo
First Name:
Last Name:
E-Mail:
Phone Number:
Street:
City:
State:
Zip Code:
 
Click "enter" to 1) agree to the Salsa Spirit release form (below). and 2) to register to dance.

Salsa Spirit Waiver and Release
By clicking above on “I Agree/Enter,” you agree, warrant and covenant as follows:

Purpose of event
I understand that the purpose of Salsa Spirit is to raise Money for Shriners Hospital for Children

I'll take care of myself
I, and I alone, am solely responsible for my personal health and safety. I will take care of myself by keeping hydrated, resting, and doing anything else I need to to ensure my personal health.

It's okay for me to participate
I am physically capable of completing this event. If I am aware of or under treatment for any physical infirmity, ailment or illness, my medical care provider knows of and has approved my participation in the event.

Accidents happen
I understand that while participating in this event hazards may exist and I am aware of and appreciate the risks that may result. I am also aware that accidents may occur during this event which may result in serious injury or death. I am voluntarily participating in this event with knowledge of the dangers involved and I agree to accept all risks of injury or death.

I won't sue
I agree to assume all risks and to release, hold harmless, and covenant not to sue Suzanne Steele d.b.a. Assorted Affairs, Ryles Jazz Club, Raul Nieves of Dance Caliente, Shriners Hospital for Children and any sponsors, participating clubs, organizations, friends of the event (collectively, "the releasees") for any claim, loss, or liability that I may have arising out of my participation in the event, including bodily injury, death or property damage, whether caused by negligence or carelessness of the releasees or otherwise. I understand and agree that this Waiver and Release is binding on my heirs, assigns and legal representatives.

Smile for the camera
I understand that my name, photograph, voice or likeness may be used by Suzanne Steele d.b.a. Assorted Affairs, Ryles, Dance Caliente, and Shriners Hospital for Children. I consent to and authorize, in advance, such use and waive all rights of privacy I have in connection therewith. And I understand that I will not benefit financially from any use thereof.

I've read the waiver
I have carefully read this Waiver and Release and fully understand its contents. I am aware that by signing (clicking I Agree/Enter) this Waiver and Release, I am waiving legal rights and knowing this, I sign it of my own free will.



Copyright© - All Rights Reserved.
Revised 1/8/08
Suzanne Steele, Principal, Assorted Affairs, 23 Auburn Street, Brookline, MA 02446
E-mail: Suzanne Steele; Phone: (774) 454-2927