Sign in to My HQ
Waiver/Agreement
By clicking on "I Agree," you agree, warrant and covenant as follows:
I and/or my child will participate in the SBANENY Walk-N-Roll for Spina Bifida 2017 sponsored by Spina Bifida Association of Northeastern New York on Saturday May 20, 2017 at Central Park, Schenectady, NY from 8:30 AM to 1:30 PM.

I do hereby, for myself, my heirs, executors and administrators, remise, release and forever discharge and agree to indemnify and hold harmless the Spina Bifida Association of the Northeastern New York (SBANENY) from all costs expense, and any and all claims, demands, actions or causes of action or liability arising out of my or my child’s participation in this event to benefit the programs and services of Spina Bifida Association of Northeastern New York. I do hereby waive all claims for damage or loss to me or my child’s person or property which may be caused by an act, by Spina Bifida Association of Northeastern New York, its officers, agents or employees arising directly or indirectly from my or my child’s participation in this event.

I grant full permission for Spina Bifida Association of Northeastern New York to use photos, videos, film or any other record of this event in which I may appear for a legitimate purpose.

Participants under 18 must have this form accepted by a parent or guardian.
I agree I decline
Help Files


Special Thanks to:
Cure Medical Logo