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Waiver/Agreement
By clicking on "I Agree," you agree, warrant and covenant as follows:
By signing this form: 1) I grant permission to Signature Healthcare and the Chrystine M. Sullivan Memorial Foundation to use event photographs that include me in news stories and promotions. 2) I grant permission to Signature Healthcare and the Chrystine M. Sullivan Memorial Foundation to list my name or team name as a "Sponsoring Team" in all after walk publications. 3) I (or participant named above is under 18 years of age), hereby absolve and hold harmless Signature Healthcare, the Chrystine M. Sullivan Memorial Foundation and the City of Brockton should any injury, loss, or misadventure occur during this event.
I agree I decline


Signature Healthcare
680 Centre Street
Brockton, MA 02302
Phone: 508-941-7000
Signature Healthcare is a 501(c)(3), public charity.





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Special Thanks to:
Sullivan Tire and Auto Service Logo